DR. PAUL DAVID GOODMAN (NPI# 1205056074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205056074 |
| Entity Type | Individual |
| Full Name | DR. PAUL DAVID GOODMAN |
| Credential | M.D. |
| Practice Address |
204 Water St Ellsworth ME 04605-2038 |
| Mailing Address |
Po Box 878 Ellsworth ME 04605-0878 |
| Practice Telephone | 2076672061 |
| Practice Fax Number | 2076678624 |
| Mailing Telephone | 2076672061 |
| Mailing Fax Number | 2076678624 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
009621 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932498482 | Paul Goodman | Ophthalmology | 5711 Sarvis Ave, Suite 402, Riverdale, MD 20737-1394 | 2011-04-06 |
| 1952562654 | Paul Harris Goodman | Dentist | 1511 S Main St, Pleasantville, NJ 08232-3514 | 2008-06-24 |
| 1548335508 | Paul Matthew Goodman | Dentist | 31 N Main St, Pennington, NJ 08534-2204 | 2006-11-22 |
| 1700805124 | Paul M. Goodman | Otolaryngology | 4033 3rd Ave, Suite 104, San Diego, CA 92103-2117 | 2006-07-18 |
| 1861436792 | Paul H Goodman | Emergency Medicine | 254 Cleveland Ave, Amherst, OH 44001-1620 | 2006-06-14 |
| 1295781433 | Paul L. Goodman | Podiatrist | 2050 Pfingsten Rd, Suite #190, Glenview, IL 60026-1324 | 2006-05-26 |
| 1811957996 | Paul Goodman | Pathology | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2006-03-24 |
| Street Address |
204 WATER ST |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932329794 | Jeannie Lou Loos | Social Worker | 204 Water St, Ellsworth, ME 04605-2038 | 2007-04-26 |
| 1104007236 | Roberta Johnson | Social Worker | 204 Water St, Ellsworth, ME 04605-2038 | 2007-11-16 |
| 1275741654 | Joyce E. Kilmer | Social Worker | 204 Water St, Ellsworth, ME 04605-2038 | 2007-05-18 |
| 1427278209 | Edith Folwell Hudson | Social Worker | 204 Water St, Ellsworth, ME 04605-2038 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144455296 | Peter Y. Kang | Psychiatry & Neurology | 7 Oak Hill Ter Ste 218, Scarborough, ME 04074 | 2009-05-19 |
| 1235397696 | Kelly Katherine Mcguire | Psychiatry & Neurology | 236 Gannett Dr, South Portland, ME 04106-6913 | 2008-06-01 |
| 1003086109 | Gordon Adair Heath | Psychiatry & Neurology | 96 Ocean St, Unit 4, South Portland, ME 04106-2855 | 2008-03-04 |
| 1841349255 | Corabell Arps | Psychiatry & Neurology | 970 Illinois Ave, Bangor, ME 04401-2722 | 2007-01-09 |
| 1003977257 | Andrew Cook | Psychiatry & Neurology | 11 State House Station, Augusta, ME 04011-0011 | 2006-12-12 |
| 1952408510 | David Rollo Hawkins Jr. | Psychiatry & Neurology | 88 Hammond St, Fourth Floor, Bangor, ME 04401-4953 | 2006-09-17 |
| 1639197932 | Daniel Bates | Psychiatry & Neurology | 124 Fletcher St, Kennebunk, ME 04043-6877 | 2006-07-17 |
| 1841677804 | Kasey May Moss | Psychiatry & Neurology | 123 Andover Rd, Westbrook, ME 04092-3848 | 2015-04-29 |
| 1811300965 | Danielle Hansen Sipsock | Psychiatry & Neurology | 236 Gannett Dr, South Portland, ME 04106-6913 | 2014-06-06 |
| 1538407408 | Francine F. Blattner, Md.pa | Psychiatry & Neurology | 1486b Broadway, South Portland, ME 04106-2602 | 2013-01-28 |
| 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.