MARY BEVENS GOODMAN (NPI# 1043677339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043677339 |
| Entity Type | Individual |
| Full Name | MARY BEVENS GOODMAN |
| Credential | NP-C |
| Practice Address |
450 N Roxbury Dr Suite #500 Beverly Hills CA 90210-4231 |
| Practice Telephone | 3102772393 |
| Mailing Telephone | 3102772393 |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NP95003472 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982107231 | Mary Kathleen Goodman | Counselor | 140 Lakeside Ave Ste A-319, Seattle, WA 98122-6551 | 2018-03-13 |
| 1144412636 | Mary Rice Goodman | Speech-Language Pathologist | 1700 Shady Oaks Dr, Southlake, TX 76092-3518 | 2007-08-17 |
| 1124125026 | Mary Louise Goodman | Marriage & Family Therapist | 151 N Kraemer Bl, Suite 105, Placentia, CA 92870-5005 | 2006-09-20 |
| 1750942157 | Mary Joanne Goodman | Counselor | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2019-06-26 |
| 1295265775 | Mary Thresa Goodman | Dentist | 9513 Q St, Ralston, NE 68127-5201 | 2017-06-15 |
| 1306275524 | Mary Beth Goodman | Counselor | 6700 S Washington Ave, Titusville, FL 32780-8050 | 2013-11-07 |
| 1902110786 | Mary Carter Goodman | Speech-Language Pathologist | 4102 E Parham Rd, Suite A, Richmond, VA 23228-2743 | 2010-08-04 |
| 1215133426 | Mary Goodman | Specialist | 1600 E Jefferson St, Suite A5, Seattle, WA 98122-5698 | 2007-06-25 |
| 1811028632 | Mary Elizabeth Goodman | Marriage & Family Therapist | 290 E Gobbi St, Ukiah, CA 95482-5559 | 2007-03-07 |
| 1336209931 | Mary Beth Goodman | Registered Nurse | 715 S Plum St, Marysville, OH 43040 | 2006-12-12 |
| Street Address |
450 N ROXBURY DR SUITE #500 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255382826 | Deborah J Frutkin | Nurse Anesthetist, Certified Registered | 450 N Roxbury Dr, Suite 600, Beverly Hills, CA 90210-4232 | 2006-05-16 |
| 1942759154 | Vanessa Gabrovsky Cuellar Md Inc | Clinic/Center | 450 N Roxbury Dr, 3rd Floor, Beverly Hills, CA 90210-4231 | 2016-09-28 |
| 1225586407 | Robert Paul Zimmerman Md Professional Corporation | Radiology | 450 N Roxbury Dr, Suite 600, Beverly Hills, CA 90210-4231 | 2016-09-15 |
| 1427446012 | California Center for Pelvic Floor Disorders Inc | Urology | 450 N Roxbury Dr, Suite 500, Beverly Hills, CA 90210-4231 | 2015-01-05 |
| 1699101097 | David J. Soomekh Dpm, A Professional Corporation | Podiatrist | 450 N Roxbury Dr, Suite 200, Beverly Hills, CA 90210-4231 | 2013-09-18 |
| 1275967648 | Nilesh Patel Do Inc | Anesthesiology | 450 N Roxbury Dr, Beverly Hills, CA 90210-4231 | 2013-08-21 |
| 1205274537 | Beverly Hills Hernia Center | Surgery | 450 N Roxbury Dr, Suite 224, Beverly Hills, CA 90210-4231 | 2013-06-09 |
| 1891131280 | Pacific Pelvic Pain Center A Medical Corporation | Anesthesiology | 450 N Roxbury Dr, Beverly Hills, CA 90210-4231 | 2013-05-13 |
| 1114265519 | Precision Ambulatory Surgery Center LLC | Clinic/Center | 450 N Roxbury Dr, Suite 250, Beverly Hills, CA 90210-4231 | 2013-01-21 |
| 1841537735 | Theodric B. Hendrix, Jr., M.d. | Obstetrics & Gynecology | 450 N Roxbury Dr, Suite 500, Beverly Hills, CA 90210-4231 | 2013-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174999015 | Kristina Hagopian | Nurse Practitioner | 8920 Wilshire Blvd Ste 525, Beverly Hills, CA 90211-1968 | 2015-08-14 |
| 1700215456 | Valerie Yvette Hermann | Nurse Practitioner | 8920 Wilshire Blvd, Suite 511, Beverly Hills, CA 90211-2007 | 2013-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548819964 | Myra Sepulveda | Nurse Practitioner | 1700 Lombard St Ste 110, Oxnard, CA 93030-8288 | 2019-09-09 |
| 1639641699 | Zahra Jeylani Nur | Nurse Practitioner | 15101 Spectrum, Irvine, CA 92618-3426 | 2018-12-31 |
| 1518486125 | Patty Montoya | Nurse Practitioner | 1026 Felder St, Gardena, CA 90248-3348 | 2017-09-14 |
| 1902357817 | Alexandria Ludlow | Nurse Practitioner | 350 John Muir Pkwy Ste 205, Brentwood, CA 94513-5193 | 2016-10-17 |
| 1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
| 1639553076 | Pacific Women's Healthcare Associates | Nurse Practitioner | 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 | 2015-07-15 |
| 1548655921 | Trudi J Petersen | Nurse Practitioner | 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 | 2015-04-01 |
| 1932590775 | Samah Shahzya Kureshi | Nurse Practitioner | 2619 Vanderbilt Ln Unit B, Redondo Beach, CA 90278-3318 | 2015-02-16 |
| 1346645801 | Norma Nix | Nurse Practitioner | 22423 Chase St, West Hills, CA 91304-3321 | 2014-10-27 |
| 1942602594 | Jeanelle T Margosian | Nurse Practitioner | 6215 N Fresno St Ste 108, Fresno, CA 93710-5267 | 2014-09-25 |
| Find all providers with the same taxonomy | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.