| Jarrett Edward Stewart Riley, DO | |
|
9780 S Estrella Pkwy, Goodyear, AZ 85338-7114 | |
| (623) 474-8101 | |
| (623) 474-8135 |
| Full Name | Jarrett Edward Stewart Riley |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 9780 S Estrella Pkwy, Goodyear, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255623732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | O-0862 (Idaho) | Secondary |
| 208000000X | Pediatrics | OP60536051 (Washington) | Secondary |
| 208000000X | Pediatrics | 008756 (Arizona) | Primary |
| Entity Name | Banner Primary Care Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417238908 PECOS PAC ID: 6406020155 Enrollment ID: O20111115000898 |
| Entity Name | Banner Childrens Banner Health Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407191216 PECOS PAC ID: 2466697735 Enrollment ID: O20130315000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Jarrett Edward Stewart Riley, DO 9780 S Estrella Pkwy, Goodyear, AZ 85338-7114 Ph: (623) 474-8101 | Jarrett Edward Stewart Riley, DO 9780 S Estrella Pkwy, Goodyear, AZ 85338-7114 Ph: (623) 474-8101 |
Dr. Julie Quinn Crawford, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14541 W Indian School Road, Ste 600, Goodyear, AZ 85395 Phone: 623-535-5599 Fax: 623-535-4696 | |
Dr. Tashara Natashja Gray, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13471 W Cornerstone Blvd, Goodyear, AZ 85395 Phone: 480-964-2273 | |
Joan Helene Kurtz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 16136 W. Indianola Ave., Goodyear, AZ 85395 Phone: 623-266-0388 Fax: 623-256-6328 | |
Dr. Ellen M Giordano, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13471 W Cornerstone Blvd, Goodyear, AZ 85395 Phone: 623-583-3001 | |
Rachel Levey Caruso, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 13471 W Cornerstone Blvd, Goodyear, AZ 85395 Phone: 877-809-5092 Fax: 623-213-8536 | |
Dr. Raj S Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 N Estrella Pkwy, Suite 20, Goodyear, AZ 85338 Phone: 623-298-4642 Fax: 623-925-9193 |