MR. JOHNATHAN DAVID GOODWIN (NPI# 1295963379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295963379 |
Entity Type | Individual |
Full Name | MR. JOHNATHAN DAVID GOODWIN |
Credential | M.D. |
Practice Address |
3401 Springhill Dr Suite 400 North Little Rock AR 72117 |
Practice Telephone | 5019453343 |
Practice Fax Number | 5019450770 |
Mailing Telephone | 5019453343 |
Mailing Fax Number | 5019450770 |
Enumeration Date | 2009-06-26 |
Last Update Date | 2016-12-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
E9623 | AR | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | 2011036079 | MO | Allopathic & Osteopathic Physicians |
Street Address |
3401 SPRINGHILL DR SUITE 400 |
City | NORTH LITTLE ROCK |
State | AR |
Zip Code | 72117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184077802 | Anne M Hiegel | Nurse Practitioner | 3401 Springhill Dr, Suite 245, North Little Rock, AR 72117-2924 | 2016-07-18 |
1972944064 | Gastro Clinics of Arkansas, Pllc | Specialist | 3401 Springhill Dr, Suite 400a, North Little Rock, AR 72117-2924 | 2013-07-17 |
1447556048 | Capes Dialysis LLC | Clinic/Center | 3401 Springhill Dr, Ste 190, North Little Rock, AR 72117-2924 | 2011-01-31 |
1205131869 | Dr Dave L Ouellette, Dds, Pa | Dentist | 3401 Springhill Dr, Suite 285, North Little Rock, AR 72117-2924 | 2011-01-12 |
1972730463 | Nicole Tidwell Turner | Registered Nurse | 3401 Springhill Dr, North Little Rock, AR 72117-2924 | 2009-06-11 |
1215189451 | Kelli Kostelnik | Dietitian, Registered | 3401 Springhill Dr, # 190, North Little Rock, AR 72117-2924 | 2008-10-21 |
1386825354 | Peyton E Rice Jr. | Urology | 3401 Springhill Dr, Suite 240, North Little Rock, AR 72117-2924 | 2007-11-19 |
1386790137 | Shannon Case | Legal Medicine | 3401 Springhill Dr, Ste 390, North Little Rock, AR 72117-2924 | 2007-01-26 |
1922118496 | Gary W Fowler | Nurse Practitioner | 3401 Springhill Dr, Suite 245, North Little Rock, AR 72117-2924 | 2006-08-30 |
1669582995 | Joanne M Wilson | Nurse Practitioner | 3401 Springhill Dr, Suite 245, North Little Rock, AR 72117-2924 | 2006-08-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
Find all providers in zip 72117 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326466020 | Patrick Selakovich | Internal Medicine | 3401 Springhill Dr Ste 400, North Little Rock, AR 72117-2928 | 2014-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073079596 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 Rodney Parham Rd, Suite A, Little Rock, AR 72212-7221 | 2019-02-20 |
1114482379 | Medical Associates of Northwest Arkansas Pa | Internal Medicine | 3344 N Futrall Dr Ste B, Fayetteville, AR 72703-4057 | 2019-02-01 |
1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
1508357120 | Stephan Dehmel | Internal Medicine | 4301 W Markham St Ste 567, Little Rock, AR 72205-7101 | 2018-05-21 |
1366933855 | Your Bariatric Care Clinic Ea | Internal Medicine | 1 Saint Vincent Cir Ste 320, Little Rock, AR 72205-5408 | 2018-05-21 |
1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
1376054155 | Conway Regional Medical Center, Inc | Internal Medicine | 2200 Ada Ave Ste 201, Conway, AR 72034-4984 | 2017-10-19 |
1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
1871049932 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 901 Se 28th St, Bentonville, AR 72712-3880 | 2016-08-29 |
1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
Find all providers with the same taxonomy |
City | NORTH LITTLE ROCK |
Zip Code | 72117 |
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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.