MR. MICHAEL EUGENE GOODWIN (NPI# 1558674382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558674382 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL EUGENE GOODWIN |
| Credential | PA |
| Practice Address |
4939 W Ray Rd #4-508 Chandler AZ 85226-2065 |
| Practice Telephone | 4802252117 |
| Mailing Telephone | 4802252117 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1022 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548616642 | Michael Goodwin | Student in an Organized Health Care Education/Training Program | 51 N 39th St, Philadelphia, PA 19104-2640 | 2016-05-06 |
| 1447635743 | Michael B Goodwin | Social Worker | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2015-07-28 |
| 1649526955 | Michael Anthony Goodwin | Dentist | 1005 Long Prairie Rd, Suite 100, Flower Mound, TX 75022-4241 | 2012-07-24 |
| 1568756591 | Michael D Goodwin | Family Medicine | 18040 Sw Lower Boones Ferry Rd, Ste 100, Tigard, OR 97224-7258 | 2011-06-07 |
| 1477734598 | Michael D Goodwin | Dentist | 11045 Broadway, Suite B, Crown Point, IN 46307-7474 | 2007-11-16 |
| 1386777928 | Michael W Goodwin | Psychologist | 576 State St, Springfield, MA 01109-4104 | 2007-03-13 |
| 1114017837 | Michael J Goodwin | Orthopaedic Surgery | 1000 Ashland Dr, Suite 103, Ashland, KY 41101-7057 | 2006-10-13 |
| 1619913845 | Michael J Goodwin | Physician Assistant | 619 19th Street South, Birmingham, AL 35233 | 2006-06-22 |
| 1053303529 | Michael Goodwin | Anesthesiology | 1140 Lexington Rd, Georgetown, KY 40324-9330 | 2005-08-19 |
| Street Address |
4939 W RAY RD #4-508 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85226-2065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639327075 | Janet Young Russell | Family Medicine | 4939 W Ray Rd, Suite 28, Chandler, AZ 85226-2065 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594076 | Diplomat Specialty Pharmacy of Phoenix, LLC | Durable Medical Equipment & Medical Supplies | 485 N Juniper Dr, Chandler, AZ 85226 | 2018-07-02 |
| 1073011961 | Joshua David Heiller | Physical Therapist | 5590 W Chandler Blvd Ste B4, Chandler, AZ 85226 | 2018-01-25 |
| 1053771808 | Jessie Beliard | Counselor | 6909 W Ray Rd Ste 138, Chandler, AZ 85226 | 2016-03-07 |
| 1750754206 | Homestead Hospice of Phoenix LLC | Hospice Care, Community Based | 5355 W Chandler Blvd, Suite 3, Chandler, AZ 85226 | 2015-11-05 |
| 1003288192 | Savannah Torrez | Physical Therapist | 5590 W Chandler Blvd Ste B-4, Chandler, AZ 85226 | 2015-10-28 |
| 1437401528 | Larry W. Ganann | Pharmacist | 4949 W. Ray Road, Chandler, AZ 85226 | 2012-10-12 |
| 1629329503 | East Valley Urgent Care,llc | Clinic/Center | 4959 W Ray Road, Chandler, AZ 85226 | 2012-10-02 |
| 1457609158 | Patricia Dobratz | Marriage & Family Therapist | 6100 W Gila Springs Pl, Suite 19, Chandler, AZ 85226 | 2012-08-28 |
| 1831406388 | Chanda Lise Gonzales | Counselor | 6909 W Ray Rd Ste 15-143, Chandler, AZ 85226 | 2010-09-04 |
| 1689874323 | Arizona Dental Design | Dentist | 4940 W. Ray Road Suite 8, Chandler, AZ 85226 | 2007-07-20 |
| Find all providers in zip 85226 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184080442 | Wayna Heidi Liu | Physician Assistant | 2950 S Alma School Rd Ste 1, Chandler, AZ 85286-8120 | 2016-01-01 |
| 1003288804 | Marta Rebeccah Liang | Physician Assistant | 1840 W Chandler Blvd Ste D2, Chandler, AZ 85224 | 2015-10-20 |
| 1730558644 | Erica Marie Neal | Physician Assistant | 2181 E Pecos Rd Ste 1, Chandler, AZ 85225-6140 | 2015-09-21 |
| 1427454784 | Nicole Hensey | Physician Assistant | 1940 N. Alma School Rd., Chandler, AZ 85224 | 2014-11-14 |
| 1861815250 | Vanessa R. Olds | Physician Assistant | 1592 E Wildhorse Pl, Chandler, AZ 85286-1187 | 2014-01-21 |
| 1902056708 | Robert H Stowers | Physician Assistant | 600 S Dobson Rd Ste 39, Chandler, AZ 85224-5677 | 2008-09-29 |
| 1508045600 | Tyler S Dennison | Physician Assistant | 595 N Dobson Rd Ste D65, Chandler, AZ 85224-4234 | 2007-10-25 |
| 1588705214 | David S Bone | Physician Assistant | 5000 W Chandler Blvd Bldg Ch-3, Chandler, AZ 85226-3601 | 2007-02-08 |
| 1689678567 | Barbara Galutia Regis | Physician Assistant | 725 S Dobson Rd, Ste 103, Chandler, AZ 85224-5676 | 2005-06-09 |
| 1215543616 | Alex Wamble | Physician Assistant | 70 N Mcclintock Dr, Chandler, AZ 85226-3711 | 2020-09-21 |
| Find all providers in CHANDLER | ||||
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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.