Active NPI
Godwin Izuegbunam MD PC
- Anesthesiology Physician
- Glendale, AZ
National Provider Identifier
1992740559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 31461
- Legal business name
- GODWIN IZUEGBUNAM MD PC
- Practice address
- 8910 N 43Rd Ave Ste 104
Glendale, AZ 85302-5340 - Phone
- (602) 595-2986
- Fax
- (602) 595-3041
- NPI assigned
- Jun 18, 2006
- 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
- Edith C Izuegbunam
- Title
- Administrator
- Phone
- (602) 595-2986
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 31461 | AZ | Primary |
Addresses
Primary practice location
8910 N 43Rd Ave Ste 104
Glendale, AZ 85302-5340
Mailing address
1816 W Parnell Dr
Phoenix, AZ 85085-8020
Phone (602) 595-2986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 793837 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758672000000",
"number": "1992740559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 W PARNELL DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850858020",
"telephone_number": "602-595-2986",
"fax_number": "602-595-3041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8910 N 43RD AVE STE 104",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853025340",
"telephone_number": "602-595-2986",
"fax_number": "602-595-3041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GODWIN IZUEGBUNAM MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A",
"authorized_official_last_name": "IZUEGBUNAM",
"authorized_official_first_name": "EDITH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "602-595-2986"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "AZ",
"license": "31461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "793837",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.