ANIKA S. GOODWIN (NPI# 1285672345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285672345 |
| Entity Type | Individual |
| Full Name | ANIKA S. GOODWIN |
| Other Name | ANIKA GOODWIN BRADLEY |
| Credential | MD |
| Practice Address |
1846 E Innovation Park Dr Ste 100 Oro Valley AZ 85755-1963 |
| Practice Telephone | 8337465393 |
| Mailing Telephone | 8337465393 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 207W00000X | Ophthalmology | 11747C | WY | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | CDR.0000195 | CO | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | MD45562 | IA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 31097 | NE | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 37377 | AL | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 56691 | AZ | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 10915237-1 | UT | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | ME136686 | FL | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 2014-00564 | NC | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | TL32880 | SC | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 057437 | GA | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 2014-00564 | NC | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | TL32880 | SC | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 057437 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 938942945A | 05 | |
| GA | 938942945B | 05 | |
| GA | 938942945C | 05 | |
| SC | MEDICARE PTAN | AA53092326 | 01 |
| SC | 328808 | 05 |
| Street Address |
1846 E INNOVATION PARK DR STE 100 |
| City | ORO VALLEY |
| State | AZ |
| Zip Code | 85755-1963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065104 | Stacey Ann Poole | Nurse Practitioner | 1846 E Innovation Park Dr Ste 100, Oro Valley, AZ 85755-1963 | 2020-05-27 |
| 1164041406 | Daily Hope Healthcare Services LLC | Nurse Practitioner | 1846 E Innovation Park Dr Ste 100, Oro Valley, AZ 85755-1963 | 2020-04-15 |
| 1669961264 | Lioness Community Care of Arizona | Community/Behavioral Health | 1846 E Innovation Park Dr Ste 100, Oro Valley, AZ 85755-1963 | 2018-05-09 |
| 1225556541 | Ans Testing and Services of Arizona | Specialist/Technologist, Other | 1846 E Innovation Park Dr Ste 100, Oro Valley, AZ 85755-1963 | 2017-09-07 |
| 1659743540 | Jollene Lindle Neuman | Developmental Therapist | 1846 E Innovation Park Dr Ste 100, Oro Valley, AZ 85755-1963 | 2015-10-30 |
| 1053789115 | Codi Jacobsen | Developmental Therapist | 1846 E Innovation Park Dr Ste 100, Oro Valley, AZ 85755-1963 | 2015-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134782097 | Thoroughbred Medical | Physical Medicine & Rehabilitation | 1521 E. Tangerine Road, Suite 201, Oro Valley, AZ 85755 | 2019-04-17 |
| 1245618545 | Arizona State Radiology, PC | Radiology | 12112 Rancho Vistoso Blvd 150-221, Tucson, AZ 85755 | 2015-05-07 |
| 1316258361 | Desert Sky Spine & Sports Medicine PC | Physical Medicine & Rehabilitation | 1521 E. Tangerine Rd, Suite 201, Oro Valley, AZ 85755 | 2010-06-24 |
| 1033442967 | Terri Farmer PC | Nurse Practitioner | 12450 N. Rancho Vistoso Blvd, Suite 100, Oro Valley, AZ 85755 | 2009-09-10 |
| 1902036338 | David Lee Chaffee Jr. | Dentist | 1880 E Tangerine Rd, Suite 190, Oro Valley, AZ 85755 | 2009-07-20 |
| 1043459738 | Tangerine Dental Group, LLP | Dentist | 1880 East Tangerine Road, Suite 190, Oro Valley, AZ 85755 | 2009-02-19 |
| 1982819736 | Kirsten Pennartz | Physical Therapist | 12460 N Rancho Vistoso Blvd, 140, Oro Valley, AZ 85755 | 2007-05-14 |
| 1346453339 | Michael William Lang | Dentist | 1171 E. Rancho Vistoso Blvd, Suite 157, Oro Valley, AZ 85755 | 2007-05-07 |
| 1871629758 | Phyllis Huttenhoff Menard | Marriage & Family Therapist | 2274 E Montrose Cyn Dr, Tucson, AZ 85755 | 2007-02-26 |
| 1639236581 | Athlon Physical Therapy, LLC | Physical Therapist | 12460 N. Rancho Vistoso Blvd., Suite 140, Oro Valley, AZ 85755 | 2007-01-02 |
| Find all providers in zip 85755 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467544981 | Barnet Dulaney Perkins Eye Center | Ophthalmology | 1171 E Rancho Vistoso Blvd, Suite 163, Oro Valley, AZ 85755-9107 | 2006-09-29 |
| 1336200039 | Mark Leslie Griswold | Ophthalmology | 1521 E Tangerine Rd, Suite 301, Oro Valley, AZ 85755-6225 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1376057349 | K E Express Pllc | Ophthalmology | 16425 E Palisades Blvd Ste 102, Fountain Hills, AZ 85268-3754 | 2017-11-28 |
| 1891241964 | Arizona Retina Associates, Pllc | Ophthalmology | 6262 E Broadway Rd Ste 106, Mesa, AZ 85206-6101 | 2016-08-29 |
| 1417310855 | Michael Johnson | Ophthalmology | 729 N Ocotillo Ln, Gilbert, AZ 85233-3707 | 2016-04-02 |
| 1679936512 | Sravanthi Vegunta | Ophthalmology | 11023 N Saint Andrews Way, Scottsdale, AZ 85254-4801 | 2016-03-29 |
| 1962881698 | Nishi Madhusudan Shah | Ophthalmology | 3815 E Bell Rd Ste 2500, Phoenix, AZ 85032-2151 | 2015-05-27 |
| 1316332596 | M & M Eye Institute, Plc | Ophthalmology | 399 W Palomino Rd, Chino Valley, AZ 86323-5648 | 2015-04-03 |
| 1609279165 | Anew Vision Eye Specialists, Pllc | Ophthalmology | 20325 N 51st Ave Ste 130, Glendale, AZ 85308-5677 | 2014-09-29 |
| 1982010773 | Phoenix Eye Group, LLC | Ophthalmology | 10250 N 92nd St Ste 105, Scottsdale, AZ 85258-4517 | 2014-07-01 |
| 1477984862 | James Chipman Wootton | Ophthalmology | 6202 N 22nd St, Phoenix, AZ 85016-2003 | 2013-12-10 |
| Find all providers with the same taxonomy | ||||
| City | ORO VALLEY |
| Zip Code | 85755 |
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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.