Estrella Internal Medicine and Pediatrics

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

ESTRELLA INTERNAL MEDICINE AND PEDIATRICS

Practice address

14541 W Indian School Rd
Suite 600
Goodyear, AZ 85395-9243

Phone

(623) 535-5599

NPI assigned

Nov 3, 2014

Last updated

Nov 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brianne Wells

Title

Physician Assistant

Phone

(623) 535-5599

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kent Michael Johnson, M.D.

  • Internal Medicine Physician
  • Goodyear, AZ
  • NPI 1386699502
  NPD

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1881099877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14541 W INDIAN SCHOOL RD",
            "address_2": "SUITE 600",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14541 W INDIAN SCHOOL RD",
            "address_2": "SUITE 600",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959243",
            "telephone_number": "623-535-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTRELLA INTERNAL MEDICINE AND PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "623-535-5599"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estrella Anesthesia LLC
• Estrella Counseling Services
• Estrella Falls Dentistry PLLC
• Estrella Family Care and Aesthetics LLC (Estrella Family Care and Aesthetics)
• Estrella Family Medical, LLC.
• Estrella Internal Medicine and Pediatrics PC
• Estrella Pkwy Medical Center
• Estrella Pkwy Medical Center, LLC.
• Estrella Therapy Services
• Eternity Palliative Care LLC

• Medical Physician Assistant in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.