WARREN T GOODMAN (NPI# 1316906746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316906746 |
| Entity Type | Individual |
| Full Name | WARREN T GOODMAN |
| Credential | MD |
| Practice Address |
640 Jackson St Mc 11103e St Paul MN 55101-2502 |
| Mailing Address |
8170 33rd Ave S # Ms 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6512544796 |
| Practice Fax Number | 6512542741 |
| Mailing Telephone | 6512547580 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2019-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 44982 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 319888000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063595528 | Warren Harvey Goodman | Psychiatry & Neurology | 1 Barstow Road, Suite P 14, Great Neck, NY 11021-3501 | 2006-10-20 |
| 1558373217 | Warren J Goodman | Podiatrist | 83 Maiden Ln Fl 6, New York, NY 10038-4812 | 2006-08-12 |
| 1396193116 | Warren Goodman | Counselor | 145 S Worthen St, Wenatchee, WA 98801 | 2016-06-02 |
| 1396731352 | Warren G Goodman | Specialist | 1000 Ainsworth Dr, Suite 115, Prescott, AZ 86305-1667 | 2005-09-26 |
| Street Address |
640 JACKSON ST MC 11103E |
| City | ST PAUL |
| State | MN |
| Zip Code | 55101-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407375223 | Yu Guan | Physician Assistant | 640 Jackson St, St Paul, MN 55101 | 2017-09-12 |
| 1225405392 | Aline Marie Niehues | Nurse Practitioner | 640 Jackson St, Ms 11502v, St Paul, MN 55101 | 2015-08-25 |
| 1861664153 | Aaron Michael Burnett | Emergency Medicine | 640 Jackson St, Emergency Medicine Box 11102f, St Paul, MN 55101 | 2008-03-27 |
| 1538267653 | Brooke D Hovick | Physician Assistant | 640 Jackson St, Mc 11503l, St Paul, MN 55101-2502 | 2006-09-20 |
| 1275549339 | Sara Fran Hall | Clinical Nurse Specialist | 640 Jackson St, M S 11502v, St Paul, MN 55101-2502 | 2006-07-31 |
| 1821043894 | Kathleen D Siechen | Pathology | 640 Jackson St, Mc 11103e, St Paul, MN 55101-2502 | 2006-05-24 |
| 1629022249 | Beverly S Jorgenson | Nurse Practitioner | 640 Jackson St, St Paul, MN 55101-2502 | 2006-05-19 |
| 1235195892 | Lisa M Lau | Physician Assistant | 640 Jackson St, Mc 11102f, St Paul, MN 55101-2502 | 2006-04-24 |
| 1003871229 | Lee Rivard | Nurse Anesthetist, Certified Registered | 640 Jackson St, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-04-19 |
| 1659335412 | Carol M Zerfas | Nurse Anesthetist, Certified Registered | 640 Jackson St, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962871608 | Lakes Dermatology, Pa | Dermatology | 14305 Southcross Dr W, Suite 110, Burnsville, MN 55306-7009 | 2015-09-23 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1578982773 | Lori Ann Fiessinger | Dermatology | 420 Delaware Street Se, Mmc 98, Minneapolis, MN 55455 | 2014-04-15 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1033537782 | Erin Sellinger | Dermatology | 2 Carlson Pkwy N, Ste 240, Plymouth, MN 55447-4485 | 2014-03-31 |
| 1033555230 | Samuel Blake Ecker | Dermatology | 3655 Plymouth Blvd Ste 110, Minneapolis, MN 55446-3665 | 2013-05-14 |
| 1295078913 | Jessica Jane Newman | Dermatology | 4-240, Phillips-wangensteen Bldg., 516 Delaware Street S.e., Mail Code 98, Minneapolis, MN 55455 | 2013-04-01 |
| 1437416088 | Tiffany Lynn Shih | Dermatology | 401 Phalen Blvd # Ms 41102b, Saint Paul, MN 55130-5302 | 2012-04-20 |
| 1124317383 | Sara Anne Hylwa | Dermatology | 730 South 8th Street, Department of Dermatology, Minneapolis, MN 55415 | 2011-03-28 |
| 1770885360 | Thomas Joseph Kalb | Dermatology | 13420 106th St., Young America, MN 55397-5401 | 2010-12-02 |
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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.