MICHAEL D GOODLETT (NPI# 1154399863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154399863 |
| Entity Type | Individual |
| Full Name | MICHAEL D GOODLETT |
| Credential | MD |
| Practice Address |
349 South Donahue Drive Suite 200 Auburn AL 36849 |
| Practice Telephone | 3348449821 |
| Practice Fax Number | 3348440932 |
| Mailing Telephone | 3348449821 |
| Mailing Fax Number | 3348440932 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2009-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
10954 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS | 51521101 | 01 |
| Street Address |
349 SOUTH DONAHUE DRIVE SUITE 200 |
| City | AUBURN |
| State | AL |
| Zip Code | 36849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063408961 | David Allen Walsh | Physical Therapist | 349 South Donahue Drive, Plainsman Park Physical Therapy, Auburn, AL 36849-0001 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659870624 | Tyler Blake Griffin | Specialist/Technologist | 392 South Donahue Drive, Auburn, AL 36849 | 2018-02-06 |
| 1922539543 | Nadia Bhuiyan | Psychologist | 101 Cary Hall, Auburn University, Auburn, AL 36849 | 2017-03-24 |
| 1841309788 | Paula Merchant | Physical Therapist | 349 S Donahue Drive, Auburn University, AL 36849 | 2006-08-30 |
| 1548770589 | Matthew Jordan Vickers | Pharmacist | 2155 Walker Building, Auburn, AL 36849 | 2017-10-04 |
| 1487270492 | East Alabama Ambulatory Surgery Center, LLC | Clinic/Center | 900 Camp Road, Auburn, AL 36849-0001 | 2020-06-25 |
| 1457906968 | Richard Seth Blankenship | Pharmacist | 132 East Thach Avenue 2155 Walker Building, Auburn University, AL 36849-0001 | 2019-08-02 |
| 1053976704 | Analise Mary Williams | Speech-Language Pathologist | 1119 Haley Center, Auburn University, AL 36849-0001 | 2019-05-08 |
| 1851865240 | Olivia Mcneal | Student in an Organized Health Care Education/Training Program | 23116 Walker Building, Auburn University, AL 36849-0001 | 2019-01-18 |
| 1083188536 | Nicholas Degrood | Student in an Organized Health Care Education/Training Program | 2316 Walker Bld, Auburn University, AL 36849-0001 | 2019-01-17 |
| 1386118826 | Mustabshira Nisar | Student in an Organized Health Care Education/Training Program | 2316 Walker Bldg, Auburn University, AL 36849-0001 | 2019-01-17 |
| Find all providers in zip 36849 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114290525 | Joseph Lee Edison | Family Medicine | 349 S Donahue Dr, Auburn, AL 36849-0001 | 2012-02-15 |
| 1063502995 | Christopher A Regnier | Family Medicine | 690 Minot Ave, Auburn, ME 04210-3922 | 2006-10-13 |
| 1225050818 | Central Maine Orthopaedics, P.a. | Family Medicine | 690 Minot Ave, Suite One, Auburn, ME 04210-3922 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053794354 | Brookwood Primary Care- Grand River, L.L.C. | Family Medicine | 1115 Payton Way., Suite 111, Leeds, AL 35094 | 2015-07-06 |
| 1245551878 | Scott C Boyken | Family Medicine | 7201 Happy Hollow Road, Suite 101, Trussville, AL 35173 | 2010-06-17 |
| 1558536474 | Jeffery Garrard, M.d., P.C. | Family Medicine | 4205 Balmoral Dr Sw Ste 200, Huntsville, AL 35801-7421 | 2008-04-23 |
| 1699988048 | Brian A Cost | Family Medicine | 4205 Balmoral Dr Suite 200, Huntsville, AL 35801 | 2007-05-08 |
| 1295830891 | Total Sports Care, P.C. | Family Medicine | 4205 Balmoral Drive, Suite 200, Huntsville, AL 35801 | 2006-09-14 |
| 1548717119 | Jacksonville State University | Family Medicine | 700 Pelham Rd N, Jacksonville, AL 36265-1602 | 2016-09-01 |
| 1285081463 | William Hunter Garrett | Family Medicine | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205-1638 | 2016-05-18 |
| 1912386848 | Leonardo Taarea | Family Medicine | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205 | 2015-05-26 |
| 1497133458 | Monte Ketchum | Family Medicine | 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205 | 2015-05-11 |
| 1669768537 | Donald Blake Perry | Family Medicine | 4600 Highway 280, Birmingham, AL 35242-5028 | 2011-06-20 |
| Find all providers with the same taxonomy | ||||
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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.