Good Years Family Medicine LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

31975 Issued in AZ

Legal business name

GOOD YEARS FAMILY MEDICINE LLC

Practice address

14960 W Indian School Rd
Suite 340
Goodyear, AZ 85395-7814

Phone

(623) 594-3171

Fax

(623) 594-3161

NPI assigned

Oct 7, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gregory K Chrostowski, M.D.NPI 1831181502

Title

Owner

Phone

(623) 594-3171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EAEHCD

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory K Chrostowski, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1831181502
  Medicare reassignment Care Compare group NPD Authorized official
• Agnieszka M Chrostowski, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1790777456
  Medicare reassignment Care Compare group NPD
• Aurora Irene Keeler

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1104660539
  Medicare reassignment Care Compare group NPD
• Baldish Kaur Khera, FNP-C

  • Family Nurse Practitioner
  • Surprise, AZ
  • NPI 1336777424
  Medicare reassignment Care Compare group NPD
• Regina Jo Jones, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1275186413
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1619370426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 W INDIAN SCHOOL RD",
            "address_2": "SUITE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375904",
            "telephone_number": "623-594-3171",
            "fax_number": "623-594-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14960 W INDIAN SCHOOL RD",
            "address_2": "SUITE 340",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957814",
            "telephone_number": "623-594-3171",
            "fax_number": "623-594-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD YEARS FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "CHROSTOWSKI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-594-3171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": "31975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.