| Jonathan Goodman, MD | |
|
13188 N 103rd Dr, Ste 206, Sun City, AZ 85351-3064 | |
| (623) 972-3001 | |
| (623) 933-3045 |
| Full Name | Jonathan Goodman |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 26 Years |
| Location | 13188 N 103rd Dr, Sun City, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902845134 | NPI | - | NPPES |
| 957912 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 33921 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Boswell Medical Center | Sun city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Physician Specialists Arizona Llc | 6204002272 | 234 |
| 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 Physician Specialists Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Goodman, MD 13188 N 103rd Dr, Ste 206, Sun City, AZ 85351-3064 Ph: (623) 972-3001 | Jonathan Goodman, MD 13188 N 103rd Dr, Ste 206, Sun City, AZ 85351-3064 Ph: (623) 972-3001 |
Ramesh C. Patri, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10404 W Coggins, Ste 107, Sun City, AZ 85351 Phone: 623-977-3335 Fax: 623-832-8413 | |
Dr. Richard Gittings Parry, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 10602 W Cameo Dr, Sun City, AZ 85351 Phone: 623-875-9006 | |
Dr. Louis Anthony Privitera, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 13203 N 103rd Ave, Suite J3, Sun City, AZ 85351 Phone: 623-583-7321 Fax: 623-583-7242 | |
Paravasthu S Ramanujam, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10503 W Thunderbird Blvd, Suite 114, Sun City, AZ 85351 Phone: 623-875-7330 Fax: 623-875-7334 | |
John D Pyeatt, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 13041 N Del Webb Blvd, Sun City, AZ 85351 Phone: 623-977-7201 | |
Dr. Alfonso G. Ballesteros, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 14416 W Meeker Blvd Ste 100, Sun City, AZ 85375 Phone: 623-285-2780 Fax: 623-285-2728 | |
Ujwal Yanala, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10401 W Thunderbird Blvd, Sun City, AZ 85351 Phone: 623-832-3400 Fax: 623-832-3419 |