Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Goodside Health Medical, PLLC

Organization Family Medicine Physician · NPI 1104555044

Goodside Health Medical, PLLC is a Family Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
7
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8601 N Black Canyon Hwy Ste 103-3
Phoenix, AZ 85021-4109
Phone: (281) 203-5006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Clinic/Center Taxonomy 261Q00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1104555044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerardo Reyes — Owner · (281) 203-5006
NPI enumeratedJune 7, 2022
Last updated in NPPESJuly 1, 2022
Certification dateJuly 1, 2022
Mailing address1701 River Run Ste 302, Fort Worth, TX 76107-6547

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