BROOKLYNNE FREDERICK GOSS (NPI# 1346729696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346729696 |
| Entity Type | Individual |
| Full Name | BROOKLYNNE FREDERICK GOSS |
| Credential | PA |
| Practice Address |
13677 W Mcdowell Rd Goodyear AZ 85395-2635 |
| Mailing Address |
12609 Ne 105th Way Vancouver WA 98682-2089 |
| Practice Telephone | 6238821500 |
| Mailing Telephone | 3606064449 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13677 W MCDOWELL RD |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205827938 | Timothy Owen Pfeiffer | Emergency Medicine | 13677 W Mcdowell Rd, Goodyear, AZ 85338-2618 | 2005-11-02 |
| 1730793332 | Scott Medical, LLC | Internal Medicine | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-09-02 |
| 1316555360 | Alfredo Suarez | Nurse Anesthetist, Certified Registered | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-07-15 |
| 1558985879 | Maria Sarrazin Earl | Nurse Anesthetist, Certified Registered | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-06-02 |
| 1750901989 | Uyen-nha Nguyen | Student in an Organized Health Care Education/Training Program | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-04-17 |
| 1407485006 | Ali Mustafa | Student in an Organized Health Care Education/Training Program | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-04-06 |
| 1396374989 | Michael Kost | Student in an Organized Health Care Education/Training Program | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-04-06 |
| 1427686625 | Jamila Rahmaan-colder | Student in an Organized Health Care Education/Training Program | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-04-01 |
| 1780212225 | Amy Joan Kristensen | Student in an Organized Health Care Education/Training Program | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-03-30 |
| 1912535782 | David Jacob Tramutolo | Student in an Organized Health Care Education/Training Program | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2020-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639667405 | Craig M Tambatamba | Physician Assistant | 16064 W Williams St, Goodyear, AZ 85338-3494 | 2018-04-27 |
| 1871827220 | Timothy Ralph Johnson | Physician Assistant | 2014 N Citrus Rd, Goodyear, AZ 85338 | 2009-10-01 |
| 1366695470 | Trent Wilson Knight | Physician Assistant | 700 N Estrella Pkwy Ste 145, Goodyear, AZ 85338-9329 | 2008-11-03 |
| 1013187301 | Nakia Lashawn Brooks | Physician Assistant | 14200 Celebrate Life Way, Goodyear, AZ 85338-2539 | 2008-03-03 |
| 1255426870 | Kelli Ann Mercado | Physician Assistant | 2700 N 140th Ave Ste 107, Goodyear, AZ 85395-2439 | 2006-10-03 |
| 1962059279 | Wv Medical Group LLC | Physician Assistant | 3301 N Litchfield Rd Ste 200, Goodyear, AZ 85395-3197 | 2019-08-21 |
| 1235691155 | Cassie Woods | Physician Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2019-04-01 |
| 1831676980 | Lisa Jacqueline Kovacevic | Physician Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2018-07-22 |
| 1073039947 | Katrina Carbonell Aquino | Physician Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2017-08-22 |
| 1073039186 | Thomas Landon Helm | Physician Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2017-08-21 |
| Find all providers in GOODYEAR | ||||
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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.