MR. CHARLES PHILIP GOODIE (NPI# 1467581561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467581561 |
| Entity Type | Individual |
| Full Name | MR. CHARLES PHILIP GOODIE |
| Credential | PA-C |
| Practice Address |
1700 Rockville Pike Ste 145 Rockville MD 20852-1631 |
| Mailing Address |
Po Box 4884 Washington DC 20008-0084 |
| Practice Telephone | 2402210333 |
| Mailing Telephone | 2022914581 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 004003-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1700 ROCKVILLE PIKE STE 145 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1073161253 | Center for Transformative Care | Clinic/Center | 11140 Rockville Pike, #303, Rockville, MD 20852 | 2019-08-30 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1548722309 | Anne Alexandre | Home Health Aide | 1600 Nebel St, Bethesda, MD 20852 | 2019-04-02 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1538640107 | Jessica Kay Foos | Occupational Therapy Assistant | Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 | 2018-08-22 |
| 1447737218 | Sara Haile | Occupational Therapist | Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 | 2018-07-25 |
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| Find all providers in zip 20852 | ||||
| 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 |
|---|---|---|---|---|
| 1669070991 | Niklavs Peteris Eglitis | Physician Assistant | 905 Paulsboro Dr, Rockville, MD 20850-3027 | 2020-10-09 |
| 1740899178 | Annie Jung Kim | Physician Assistant | 1801 Chapman Ave Apt 269, Rockville, MD 20852-5659 | 2020-07-31 |
| 1437625464 | Michael Xiaobo Tang | Physician Assistant | 121 Congressional Ln Ste 409, Rockville, MD 20852-1542 | 2018-10-17 |
| 1821577412 | Rachel Ghaman | Physician Assistant | 2301 Research Blvd Ste 215, Rockville, MD 20850 | 2018-08-14 |
| 1740719483 | Tao Jiang | Physician Assistant | 9660 Traville Gateway Dr, Rockville, MD 20850-7462 | 2017-06-07 |
| 1174073332 | Pavithra Gowda | Physician Assistant | 11921 Rockville Pike Ste 505, Rockville, MD 20852-2758 | 2016-10-11 |
| 1215330089 | Emmy-lou Olivia Dickinson | Physician Assistant | 9905 Medical Center Dr Ste 200, Rockville, MD 20850-6535 | 2014-10-07 |
| 1689091126 | Shana Subram | Physician Assistant | 13420 Bartlett St, Rockville, MD 20853-2938 | 2014-03-22 |
| 1033541982 | Jennifer Diane Treat | Physician Assistant | 11300 Rockville Pike Ste 1100, Rockville, MD 20852-3012 | 2013-08-02 |
| 1881808905 | Calvin Samuel Spinner | Physician Assistant | 5600 Fisher Ln, Rockville, MD 20857-0001 | 2007-05-09 |
| Find all providers in ROCKVILLE | ||||
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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.