Active NPI
Estrella Pkwy Medical Center
- General Practice Physician
- Goodyear, AZ
National Provider Identifier
1487920104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 19987
- Legal business name
- ESTRELLA PKWY MEDICAL CENTER
- Practice address
- 530 N. Estrella Pkwy
C-1
Goodyear, AZ 85338-4138 - Phone
- (623) 932-9211
- NPI assigned
- Mar 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brion Muscarella
- Title
- Manager
- Phone
- (623) 932-9211
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7681 | AZ | |
| General Practice Physician | 208D00000X | 19987 | AZ | Primary |
Addresses
Primary practice location
530 N. Estrella Pkwy
C-1
Goodyear, AZ 85338-4138
Mailing address
530 N. Estrella Pkwy
C-1
Goodyear, AZ 85338-4138
National Provider Directory
National Provider DirectoryLocations
530 N Estrella Pkwy
Ste C1
Goodyear, AZ 85338
Phone (623) 882-3598
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Goodyear, AZ
- NPI 1043264187
-
- Medical Physician Assistant
- Wickenburg, AZ
- NPI 1508858754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332806400000",
"number": "1487920104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 N. ESTRELLA PKWY",
"address_2": "C-1",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853384138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 N. ESTRELLA PKWY",
"address_2": "C-1",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853384138",
"telephone_number": "623-932-9211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESTRELLA PKWY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-27",
"last_updated": "2012-03-27",
"status": "A",
"authorized_official_last_name": "MUSCARELLA",
"authorized_official_first_name": "BRION",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "623-932-9211"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AZ",
"license": "7681",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "AZ",
"license": "19987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
- Estrella Falls Dentistry PLLC
- Estrella Family Care and Aesthetics LLC
- Estrella Family Medical, LLC.
- Estrella Internal Medicine and Pediatrics
- Estrella Internal Medicine and Pediatrics PC
- Estrella Pkwy Medical Center, LLC.
- Estrella Therapy Services
- Eternity Palliative Care LLC
- Jonathon Eubank
- Brian Richard Evans, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.