MICHAEL C GOODALL (NPI# 1437138302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437138302 |
Entity Type | Individual |
Full Name | MICHAEL C GOODALL |
Credential | RNFA |
Practice Address |
1414 W Lombard Street Davenport IA 52804-2148 |
Mailing Address |
3565 Utica Ridge Rd Bettendorf IA 52722-1645 |
Practice Telephone | 5633220971 |
Practice Fax Number | 5633221780 |
Mailing Telephone | 5633440786 |
Mailing Fax Number | 5633447536 |
Enumeration Date | 2006-01-10 |
Last Update Date | 2008-09-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
041322709 | IL | Nursing Service Providers |
Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
049407 | IA | Nursing Service Providers |
Street Address |
1414 W LOMBARD STREET |
City | DAVENPORT |
State | IA |
Zip Code | 52804-2148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265948467 | Tess Nelson | Physical Medicine & Rehabilitation | 2535 Maplecrest Rd Suite 23, Bettendorf, IA 52804 | 2017-12-26 |
1124494380 | Erica Lauren Hempel Bucy | Social Worker | 1333 W. Lombard St. Ste C, Davenport, IA 52804 | 2015-08-11 |
1477859890 | Kristin L West | Registered Nurse | 1441 W. Centrral Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804 | 2011-02-02 |
1679877625 | Linda Marie Crownover-inch | Doula | 1420 W 16th Street, #412, Davenport, IA 52804 | 2011-01-05 |
1124169032 | Lawrence R Huber | Dentist | 2305 Jersey Ridge Rd, Davenport, IA 52804 | 2007-02-12 |
1669532388 | Providence Therapy Services LLC | Physical Therapist | 21037 Holden Drive, Davenport, IA 52804 | 2006-12-11 |
1639183171 | Megan Denise Long | Occupational Therapist | 31037 Holden Dr, Davenport, IA 52804 | 2006-07-28 |
1811919772 | Theresa L Schlabach | Occupational Therapist | 21037 Holden Dr, Davenport, IA 52804 | 2006-07-23 |
1225097843 | William M Nissen | Psychiatry & Neurology | 1441 W Central Park, Davenport, IA 52804 | 2006-03-22 |
1245721851 | Mackenzie J Banwart | Physical Therapist | 1700 N Division St Ste 200, Davenport, IA 52804 | 2018-05-21 |
Find all providers in zip 52804 |
Taxonomy Code | 163WM0705X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Medical-Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477199552 | Arlene Quevedo | Registered Nurse | 471 Arbor Lakes Dr, Davenport, FL 33896-8196 | 2019-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013303122 | Christie Nelson | Registered Nurse | 2919 Arrowwood Cir, Ames, IA 50014-4608 | 2015-04-15 |
1043643455 | Jamie Jo Swotek | Registered Nurse | 2543 3rd Ave, Council Bluffs, IA 51501-3526 | 2013-08-21 |
1730179912 | Julie H. Hill | Registered Nurse | 1116 W Main St, Marshalltown, IA 50158-5674 | 2005-10-27 |
1982238150 | Angela Ausborn | Registered Nurse | 3600 30th St, Des Moines, IA 50310-2806 | 2020-02-26 |
1013304484 | Jessica Rodriguez | Registered Nurse | 601 Highway 6 W, Iowa City, IA 52246-2209 | 2015-04-23 |
1821493594 | Felicia Gahman | Registered Nurse | 3600 30th St, Des Moines, IA 50310-5753 | 2014-10-23 |
1912258716 | Pamela R. Wentworth | Registered Nurse | 349 S. Main St., Dayton, IA 45402 | 2012-09-20 |
1336325802 | Vicki Lou Stork | Registered Nurse | 311 S Clark St, Carroll, IA 51401-3038 | 2008-01-15 |
1447305370 | Judie Crossett | Registered Nurse | 601 Highway 6 W, Iowa City, IA 52246-2292 | 2007-01-23 |
1982757001 | Michael Daniel Gregory | Registered Nurse | 601 Highway 6 W, Iowa City, IA 52246-2292 | 2007-01-19 |
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.