RUSSEL L GOODWIN (NPI# 1457312050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457312050 |
| Entity Type | Individual |
| Full Name | RUSSEL L GOODWIN |
| Credential | M.D. |
| Practice Address |
303 S 4th St Danville KY 40422-2004 |
| Practice Telephone | 8592361080 |
| Practice Fax Number | 8592361862 |
| Mailing Telephone | 8592361080 |
| Mailing Fax Number | 8592361862 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 16364 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64163645 | 05 |
| Street Address |
303 S 4TH ST |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093799819 | Carolyn S Moody | Dentist | 303 S 4th St, Suite 200, Danville, KY 40422-2004 | 2005-12-05 |
| 1679170104 | Caroline Pellegrino | Nurse Practitioner | 303 S 4th St, Danville, KY 40422-2091 | 2020-10-07 |
| 1083059711 | Miranda Lou Munday | Pediatrics | 303 S 4th St, Danville, KY 40422-2091 | 2013-05-08 |
| 1326341314 | Jason E Tewmey | Physician Assistant | 303 S 4th St, Danville, KY 40422-2091 | 2010-12-13 |
| 1003060260 | Joshua Scott Wiglesworth | Pediatrics | 303 S 4th St, Danville, KY 40422-2091 | 2008-11-13 |
| 1427238898 | Shelley Renee Gover | Nurse Practitioner | 303 S 4th St, Danville, KY 40422-2091 | 2007-11-14 |
| 1417141326 | Rachel Cooper Briese | Nurse Practitioner | 303 S 4th St, Danville, KY 40422-2091 | 2007-09-04 |
| 1487854584 | Janet Fluty | Dietitian, Registered | 303 S 4th St, Danville, KY 40422-2004 | 2007-07-18 |
| 1831399955 | Sheila Michelle Sisk | Nurse Practitioner | 303 S 4th St, Danville, KY 40422-2004 | 2007-07-18 |
| 1265547723 | Danville Pediatrics and Primary Care, Pllc | Pediatrics | 303 S 4th St, Danville, KY 40422-2004 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| Find all providers in zip 40422 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477059657 | Advanced Care Pediatric Centre Pllc | Pediatrics | 1000 E Lexington Ave Ste 31, Danville, KY 40422-1707 | 2018-04-05 |
| 1417478074 | Brave Pediatric Therapy, Inc. | Pediatrics | 13798 Mace Rd, Danville, AR 72833-6770 | 2017-07-04 |
| 1245685114 | Brogan D Hayden | Pediatrics | 100 Hospital Ln Ste 200, Danville, IN 46122-1993 | 2016-04-28 |
| 1235572801 | Cierrea R Roach | Pediatrics | 201 S Main St Ste 2100, Danville, VA 24541-2937 | 2013-04-12 |
| 1306133319 | Phyllis Wang Acon | Pediatrics | 210 Monte Carlo Way, Danville, CA 94506-4689 | 2011-06-29 |
| 1447554621 | Andrew L Nash, Md, A Medical Corporation | Pediatrics | 911 San Ramon Valley Blvd, Suite 100, Danville, CA 94526-4037 | 2011-01-03 |
| 1417033705 | Sabeeha Haque Ali | Pediatrics | 102 N Logan Ave, Danville, IL 61832-8513 | 2006-10-29 |
| 1982790119 | Nirmala Rajeswaren | Pediatrics | 1017 W Williams St, Danville, IL 61832-4468 | 2006-10-05 |
| 1790799955 | Douglas A. Stein | Pediatrics | 303 South 4th Street, Danville, KY 40422 | 2006-07-27 |
| 1962424820 | Bhiron Buranakul | Pediatrics | 102 N Logan, Danville, IL 61832 | 2006-07-23 |
| Find all providers in DANVILLE | ||||
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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.