MR. AUSTIN GRANT GOODMAN


Address: 8050 Township Line Rd, Indianapolis, IN 46260-2478
Phone: 3174158500

MR. AUSTIN GRANT GOODMAN (NPI# 1154737021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154737021
Entity Type Individual
Full Name MR. AUSTIN GRANT GOODMAN
Credential AGPCNP-BC
Practice Address 8050 Township Line Rd
Indianapolis
IN 46260-2478
Mailing Address 10330 N Meridian St # 300
Indianapolis
IN 46290-1024
Practice Telephone 3174158500
Enumeration Date 2014-07-10
Last Update Date 2018-03-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
28177033A IN Nursing Service Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
71005008A IN Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
71005008A IN Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
71005008A IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8050 TOWNSHIP LINE RD
City INDIANAPOLIS
State IN
Zip Code 46260-2478

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366441255 Joy Elizabeth Boake Nurse Practitioner 8050 Township Line Rd, Indianapolis, IN 46260-2478 2005-07-21
1962982215 Kelly Krantz Hassman Occupational Therapist 8050 Township Line Rd, Indianapolis, IN 46260-2478 2018-08-16
1740771120 Jeannette Lee Gould Nurse Practitioner 8050 Township Line Rd, Indianapolis, IN 46260-2478 2018-05-22
1164887618 Deborah A Masiak Nurse Practitioner 8050 Township Line Rd, Indianapolis, IN 46260 2015-12-29
1043607369 Brandon Anderson Nurse Practitioner 8050 Township Line Rd, Indianapolis, IN 46260-2478 2015-04-24
1962893230 Stephanie Strouse Nurse Practitioner 8050 Township Line Rd, Indianapolis, IN 46260-2478 2015-02-09
1841543543 Kimberley L Jelinek Allen Nurse Practitioner 8050 Township Line Rd, Indianapolis, IN 46260-2478 2012-10-18
1114179900 Ashley Sparks Nurse Practitioner 8050 Township Line Rd, Indianapolis, IN 46260-2478 2008-10-13
1164524153 David R Speer Nurse Practitioner 8050 Township Line Rd, St. Vincent Physician Network, Indianapolis, IN 46260-2478 2006-09-01
1629093703 Kirk A Reed Physician Assistant 8050 Township Line Rd, Indianapolis, IN 46260-2478 2006-07-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1043793151 Lisa R Foreman Registered Nurse 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 2018-09-13
1790268399 Esther Muturi Chore Provider 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 2018-09-10
1912483215 Katherine Donnelly Community Health Worker 1612 Lancashire Ct, Indianapolis, IN 46260 2018-07-19
1326539628 Peaceful Source Midwifery LLC Advanced Practice Midwife 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 2018-05-22
1144722695 Mindful Services Center LLC Clinic/Center 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 2018-03-01
1144731910 Meenu Jain Student in an Organized Health Care Education/Training Program Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 2017-10-19
1609392422 1717 Senior Living, LLC Assisted Living Facility 1703 West 86th Street, Indianapolis, IN 46260 2017-08-15
1093246985 Royalty Transports LLC Bus 2255 W. 67th St., Indianapolis, IN 46260 2017-03-23
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1851852727 Carmen Lagaye Bogle Nurse Practitioner 1050 W 72nd St, Indianapolis, IN 46260-4037 2019-03-25
1861991176 Kimberly S Houchens Nurse Practitioner 135 N Pennsylvania St Ste 1610, Indianapolis, IN 46204-2448 2018-02-02
1356866834 Andrea Elaine Tennancour Nurse Practitioner My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 2017-08-07
1194259879 Bahtrena Rogers Nurse Practitioner 9302 Budd Run Dr, Indianapolis, IN 46250-1322 2017-04-19
1538512090 Martita Rolanda Meeks Nurse Practitioner 7240 Shadeland Sta Ste 300, Indianapolis, IN 46256-3944 2016-07-20
1194177022 Stephanie R Young Nurse Practitioner 8360 S Emerson Ave Ste 100, Indianapolis, IN 46237-8746 2016-07-03
1114394426 Tamara Sue Roberts Nurse Practitioner 7911 N Michigan Road, Indianapolis, IN 46268-1360 2015-08-24
1023426780 Lesli White Nurse Practitioner 1 Allison Way, Indianapolis, IN 46222-3271 2014-07-25
1386070274 Kimberly Demasie Nurse Practitioner 7520 E 88th Pl, Suite 101, Indianapolis, IN 46256-1253 2013-09-24
1669788204 Shannon L Childers-page Nurse Practitioner 1701 N Senate Blvd # A5231, Indianapolis, IN 46202-1239 2010-08-20
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Competitor

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City INDIANAPOLIS
Zip Code 46260

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Dataset Information

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.

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