Good Health Medical, PLLC
Organization Active NPI Family Medicine Physician · Mesa, AZ
NPI 1144764432 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1144764432
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- GOOD HEALTH MEDICAL, PLLC
- Practice address
- 1035 N Ellsworth Rd Ste 108
Mesa, AZ 85207-5144 - Phone
- (480) 305-2888
- Fax
- (480) 535-0962
- NPI assigned
- Dec 6, 2016
- Organization subpart
- No
Authorized official
- Name
- Ivonne Lopez
- Title
- Director of Credentialing
- Phone
- (480) 677-8282
Practitioners 390
-
Yajaira Acosta, FNP
-
Haneen Ahmed, APRN, FNP-C
-
Crystal Alston, NP-C
-
April Lynn Armstrong, FNP
-
Farah Attaullah, FNP-C
-
Marsha Ann Bonnell, FNP
-
David Michael Brennan, FNP-C
-
Angela Marie Bribiescas, FNP-C
-
Emily W. Brumfield, FNP
-
Taylor D. Brunson, FNP-C
-
Amanda Chargualaf, FNP
-
Elizabeth Marie Clapper, MSN, APRN, FNP-C
-
Vickie Clous, FNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2122930 | Good Health Medical, PC Dba My Dr Now | Certificate of waiver | Dec 8, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070523000237 | AZ | Part B Supplier - Clinic/Group Practice | 3779680962 | Receives reassigned benefits from 386 practitioners |
National Provider Directory
Locations
4600 S Mill Ave
Ste 280
Tempe, AZ 85282
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1035 N Ellsworth Rd Ste 108
Mesa, AZ 85207-5144
Mailing address
261 N Roosevelt Ave
Chandler, AZ 85226-2616
Phone (480) 305-2888
Other names
- MY DR NOW
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.