GOODEN MOBILE POD NC PLLC (NPI# 1073003752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073003752 |
| Entity Type | Organization |
| Organization Name | GOODEN MOBILE POD NC PLLC |
| Practice Address |
311 Mcfadyen Dr Fayetteville NC 28314 |
| Mailing Address |
12910 Shelbyville Rd Ste 300 Louisville KY 40243-2404 |
| Practice Telephone | 5022442441 |
| Practice Fax Number | 5022544069 |
| Mailing Telephone | 5022442441 |
| Mailing Fax Number | 5022544069 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | TAMIKA GOODEN (OWNER) |
| Authorized Official Telephone | 5022442441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Street Address |
311 MCFADYEN DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| 1902329618 | Tracy Lynn Taylor | Behavioral Analyst | 673 Prestige Blvd, Fayetteville, NC 28314 | 2017-07-25 |
| Find all providers in zip 28314 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509597 | Dr. Austin Kramer P.a. | Podiatrist | 509 E Millsap Rd Ste Ve101, Fayetteville, AR 72703-4067 | 2019-07-10 |
| 1902239486 | Austin Alan Kramer | Podiatrist | 509 E Millsap Rd Ste 101, Fayetteville, AR 72703-4862 | 2013-08-19 |
| 1609112978 | Nathan Ashby Dpm Pllc | Podiatrist | 124 Margo Ln, Fayetteville, NY 13066-1529 | 2012-12-14 |
| 1528238037 | Joseph P. Novek Dpm | Podiatrist | 6950 E Genesee St, Fayetteville, NY 13066-1036 | 2008-03-11 |
| 1669558466 | Joseph P Novek | Podiatrist | 6950 East Genesee St, Fayetteville, NY 13066 | 2006-10-27 |
| 1932131935 | Lloyd Trichell | Podiatrist | 509 E Millsap Rd, Suite #101, Fayetteville, AR 72703-4067 | 2006-07-07 |
| 1508800988 | Steven K Bowen | Podiatrist | 1645 Owen Dr, Fayetteville, NC 28304-3425 | 2006-06-15 |
| 1780634535 | Sandra R Sheehan | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304-3861 | 2006-05-11 |
| 1043288459 | Roberta Jean Parker | Podiatrist | 730 West Lanier Avenue, Fayetteville, GA 30214 | 2006-03-10 |
| 1578561734 | Kent A Vanbelois | Podiatrist | 4286 Raeford Rd, Fayetteville, NC 28304-3247 | 2005-07-12 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
Please comment or provide details below to improve the information on GOODEN MOBILE POD NC PLLC.
| 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.