| Leading Healthcare Clinic Of Goodyear Llc | |
|
13555 W Mcdowell Rd Ste 205 Goodyear AZ 85395-2626 | |
| (623) 295-1190 | |
| (602) 429-8595 |
| Full Name | Leading Healthcare Clinic Of Goodyear Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13555 W Mcdowell Rd Ste 205, Goodyear, Arizona |
| Authorized Official Name and Position | Mohammad Nasser (CEO) |
| Authorized Official Contact | 3134855680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leading Healthcare Clinic Of Goodyear Llc 13555 W Mcdowell Rd Ste 205 Goodyear AZ 85395-2626 Ph: () - | Leading Healthcare Clinic Of Goodyear Llc 13555 W Mcdowell Rd Ste 205 Goodyear AZ 85395-2626 Ph: (623) 295-1190 |
| NPI Number | 1902448566 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 03/28/2022 |
| Medicare PECOS PAC ID | 7315377371 |
|---|---|
| Medicare Enrollment ID | O20200415002967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902448566 | NPI | - | NPPES |
| 005817 | Medicaid | AZ |
| Provider Name | Anthony C Pozun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275580755 PECOS PAC ID: 3779586870 Enrollment ID: I20060810000123 |
| Provider Name | Lisa A D'alessandro-betancourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730251034 PECOS PAC ID: 3375606049 Enrollment ID: I20090107000517 |
| Provider Name | Leanne J Koleski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619209392 PECOS PAC ID: 0840328852 Enrollment ID: I20100512000978 |
| Provider Name | Angel M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144508466 PECOS PAC ID: 8729252184 Enrollment ID: I20111121000409 |
| Provider Name | Huixu Liang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154648749 PECOS PAC ID: 2466696679 Enrollment ID: I20130909000775 |
| Provider Name | William Nassour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104131820 PECOS PAC ID: 2264668615 Enrollment ID: I20131113002100 |
| Provider Name | Mohammad M Nasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376835157 PECOS PAC ID: 4880996321 Enrollment ID: I20151230001268 |
| Provider Name | Amalia Craciunescu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336479435 PECOS PAC ID: 9537457874 Enrollment ID: I20161019001475 |
| Provider Name | Nicole Barth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417497066 PECOS PAC ID: 0042576175 Enrollment ID: I20171106003166 |
| Provider Name | Karissa Nawal Alkhafi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598391500 PECOS PAC ID: 5294151270 Enrollment ID: I20200820003495 |
| Provider Name | Theresa Krueger-junk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225400500 PECOS PAC ID: 4082918198 Enrollment ID: I20210804003301 |
| Provider Name | Sneha Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811322001 PECOS PAC ID: 1951606532 Enrollment ID: I20211004003246 |
| Provider Name | Brittnie C Abishalom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841813748 PECOS PAC ID: 5597153841 Enrollment ID: I20211019002814 |
| Provider Name | Denise M Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700539038 PECOS PAC ID: 3173919628 Enrollment ID: I20220408001314 |
| Provider Name | Whitney Anee Himes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992420715 PECOS PAC ID: 3971972415 Enrollment ID: I20221206001117 |
| Provider Name | Kripa Neupane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285381301 PECOS PAC ID: 7113397241 Enrollment ID: I20230105001179 |
| Provider Name | Eddy Elkassis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952053258 PECOS PAC ID: 9931578952 Enrollment ID: I20240405003642 |
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