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NPI 1710695069ActiveOrganization· Family Medicine· Goodyear, AZ

Family Medicine in Goodyear, Arizona, registered in NPPES in November 2022. The authorized official on file is Jeffrey S. Roth, FNP, Nurse Practitioner.

Overview

NPI1710695069
StatusActive
Entity typeOrganization
NPI issuedNov 7, 2022
Last updated in NPPESDec 27, 2022
Certified by providerDec 27, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Goodyear

All Family Medicine providers in Arizona →