DR. ROBERT W. GOODWIN (NPI# 1174618094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174618094 |
| Entity Type | Individual |
| Full Name | DR. ROBERT W. GOODWIN |
| Credential | M.D. |
| Practice Address |
45 Mohouli St Hilo HI 96720-7210 |
| Practice Telephone | 8084309555 |
| Mailing Telephone | 8084309555 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD16090 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8619108 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457513020 | Robert Allan Goodwin | Orthopaedic Surgery | 1417 Drakes Ridge Ln, Alvaton, KY 42122-7805 | 2008-06-25 |
| 1215051164 | Robert Clare Goodwin | Specialist | 1726 Ellington Rd, South Windsor, CT 06074-2739 | 2007-03-18 |
| 1528190477 | Robert Duane Goodwin | Dentist | 3004 Coggin Ave, Brownwood, TX 76801-6005 | 2007-03-09 |
| 1861523789 | Robert Allen Goodwin | Psychiatry & Neurology | 1838 El Camino Real Ste 220, Burlingame, CA 94010-3110 | 2007-03-09 |
| 1861581894 | Robert L Goodwin | Chiropractor | 1444 Cliff Gookin Blvd, Tupelo, MS 38801-6477 | 2006-10-11 |
| 1417982208 | Robert Scott Goodwin | Family Medicine | 251 Bayview Blvd, Room 05a727, Baltimore, MD 21224-6823 | 2006-07-11 |
| 1235620279 | Robert Goodwin | Case Manager/Care Coordinator | 112 S 3rd St, Newark, OH 43055-5335 | 2018-05-25 |
| 1861624884 | Robert David Goodwin | Optometrist | 1048 104th St, Suite 100, Naperville, IL 60564-5118 | 2009-08-10 |
| 1730340076 | Robert Brock Goodwin | Surgery | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2008-06-19 |
| 1851416119 | Robert J Goodwin | Social Worker | 951 Blanco Cir Ste B, Salinas, CA 93901-4451 | 2007-03-19 |
| Street Address |
45 MOHOULI ST |
| City | HILO |
| State | HI |
| Zip Code | 96720-7210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801858295 | Stephen A Warsh | General Practice | 45 Mohouli St, Hilo, HI 96720-4145 | 2006-04-03 |
| 1720603715 | Kevin Masao Iwasaki | Social Worker | 45 Mohouli St, Hilo, HI 96720-7210 | 2020-06-15 |
| 1265968275 | Andrea Nicole Warsh | Nurse Practitioner | 45 Mohouli St, Hilo, HI 96720-7210 | 2017-05-11 |
| 1679005235 | Devin Hazama I | Family Medicine | 45 Mohouli St, Hawaii Island Family Medicine Residency, Hilo, HI 96720-7210 | 2017-04-01 |
| 1992256515 | Allyson Wong | Nurse Practitioner | 45 Mohouli St, Hilo, HI 96720-7210 | 2016-10-19 |
| 1336594704 | Kapaakea Charles Puaa | Student in an Organized Health Care Education/Training Program | 45 Mohouli St, Hawaii Island Family Medicine Residency, Hilo, HI 96720 | 2016-05-04 |
| 1285982876 | Leilani Kerr | Nurse Practitioner | 45 Mohouli St, Hilo, HI 96720 | 2012-08-29 |
| 1225385347 | Hilo Urgent Care, LLC | Nurse Practitioner | 45 Mohouli St, Hilo, HI 96720-7210 | 2012-08-08 |
| 1235491986 | Gutteling Enterprises | Orthopaedic Surgery | 45 Mohouli St, Suite 102, Hilo, HI 96720-7210 | 2012-06-08 |
| 1891920567 | Jacqueline Gardner | Physician Assistant | 45 Mohouli St, Hilo, HI 96720-7210 | 2009-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164879649 | Patrick Young | General Practice | 400 Hualani St Ste 196, Hilo, HI 96720-4389 | 2016-05-16 |
| 1801858295 | Stephen A Warsh | General Practice | 45 Mohouli St, Hilo, HI 96720-4145 | 2006-04-03 |
| 1316595556 | East Hawaii Medical Group | General Practice | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2019-08-30 |
| 1336318674 | Roy M Koga M D Inc | General Practice | 670 Ponahawai St Ste 120, Hilo, HI 96720-2660 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306864 | Sfmba, LLC | General Practice | 1378 Owaka St, Wailuku, HI 96793-9743 | 2020-11-05 |
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1366926313 | Doctors of Waikiki | General Practice | 120 Kaiulani Ave Unit 10&11, Honolulu, HI 96815-6203 | 2018-09-15 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1023517968 | Woundtech of Hawaii, Inc | General Practice | 120 Kaiulani Ave Ste 10-11, Honolulu, HI 96815-6203 | 2018-02-06 |
| 1285184796 | Summer Breeze LLC | General Practice | 4211 Waialae #202, Honolulu, HI 96816-5319 | 2016-10-07 |
| 1205216728 | William Garrett Holder Jr. | General Practice | Schofield Barracks Army Health Clinic Glennan Street, Bldg 677, Schofield Barracks, HI 96787 | 2015-06-01 |
| 1487050241 | Coralie A.k. Texeira, M.d. LLC | General Practice | 92-1527 Aliinui Dr, Ste C, Kapolei, HI 96707-2232 | 2014-11-06 |
| 1396162566 | Virginiia Emily Zimmerman | General Practice | 64-732 Lauwai Rd, Kamuela, HI 96743-7396 | 2014-03-25 |
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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.