LEADING HEALTHCARE CLINIC OF GOODYEAR LLC – NPI #1902448566
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

LEADING HEALTHCARE CLINIC OF GOODYEAR LLC is a provider located in GOODYEAR, AZ. NPPES has assigned the NPI number 1902448566 to LEADING HEALTHCARE CLINIC OF GOODYEAR LLC on October 15, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Mar 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEADING HEALTHCARE CLINIC OF GOODYEAR LLC below.

NPI Profile for
LEADING HEALTHCARE CLINIC OF GOODYEAR LLC

NPI Number
1902448566
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEADING HEALTHCARE CLINIC OF GOODYEAR LLC
Primary location
13555 W MCDOWELL RD STE 205
GOODYEAR, AZ 85395-2626
Phone: (623) 295-1190 Fax: (602) 429-8595
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MOHAMMAD NASSER
CEO
Phone: (313) 485-5680
Updated
Certification Date
Mar 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LEADING HEALTHCARE CLINIC OF GOODYEAR LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ005817
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.