MICHAEL J GOODWIN (NPI# 1619913845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619913845 |
| Entity Type | Individual |
| Full Name | MICHAEL J GOODWIN |
| Credential | PA-C |
| Practice Address |
619 19th Street South Birmingham AL 35233 |
| Mailing Address |
Po Box 55310 Birmingham AL 35255-5310 |
| Practice Telephone | 2059344011 |
| Mailing Telephone | 2057319701 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 239 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS | 051529670 | 01 |
| AL | 009942945 | 05 | |
| AL | BLUE CROSS | 051520055 | 01 |
| AL | 009932433 | 05 |
| 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 |
| 1558674382 | Michael Eugene Goodwin | Physician Assistant | 4939 W Ray Rd, #4-508, Chandler, AZ 85226-2065 | 2010-07-21 |
| 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 |
| 1053303529 | Michael Goodwin | Anesthesiology | 1140 Lexington Rd, Georgetown, KY 40324-9330 | 2005-08-19 |
| Street Address |
619 19TH STREET SOUTH |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528063716 | Edgar S Underwood | Radiology | 619 19th Street South, Birmingham, AL 35233 | 2005-06-15 |
| 1518472216 | Kara Burns | Anesthesiology | 619 19th Street South, Birmingham, AL 35249 | 2017-12-05 |
| 1134586019 | Cari Evans | Nurse Anesthetist, Certified Registered | 619 19th Street South, Birmingham, AL 35294 | 2016-01-22 |
| 1366808933 | Kalin Swenson | Nurse Anesthetist, Certified Registered | 619 19th Street South, Birmingham, AL 35294 | 2016-01-12 |
| 1912392283 | Brian Trieu | Radiology | 619 19th Street South, Jefferson Tower N468, Birmingham, AL 35249 | 2015-04-02 |
| 1366873135 | John Douglas Mcrae | Nurse Practitioner | 619 19th Street South, Wp P915, Birmingham, AL 35245-5600 | 2013-12-04 |
| 1851731533 | Stephen William Knight | Emergency Medicine | 619 19th Street South, Birmingham, AL 35255-5309 | 2013-06-26 |
| 1649517996 | Ann Seay Adams | Nurse Practitioner | 619 19th Street South, Birmingham, AL 35233 | 2013-01-07 |
| 1780943852 | John Taylor Jones | Radiology | 619 19th Street South, Jt N338, Birmingham, AL 35249-1900 | 2012-05-10 |
| 1033425764 | Alex Torres Iannone | Hospitalist | 619 19th Street South, P915, Birmingham, AL 35294 | 2010-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605700 | Motivity Chiropractic | Chiropractor | 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 | 2020-09-25 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1972136794 | Faleh Ali Alshanhrani | Student in an Organized Health Care Education/Training Program | Children's of Alabama, 1600 7th Ave South, Birmingham, AL 35233 | 2020-02-20 |
| 1972149128 | Jessica Lynne Miller | Registered Nurse | 1816 6th Ave South, Birmingham, AL 35233 | 2019-11-22 |
| 1881156404 | Chalandra Barley | Registered Nurse | 1802 6th Ave S., 7th Floor Sicu, Birmingham, AL 35233 | 2019-04-02 |
| 1255893004 | Mia Weitman Neustein | Registered Nurse | Uab Wic -- Gynx, 1700 6th Avenue South, Birmingham, AL 35233 | 2019-04-02 |
| 1457813214 | Tabrisha Love | Registered Nurse | Uab University Hospital 1802 6th Ave S, Birmingham, AL 35233 | 2019-04-02 |
| 1356809602 | Catherine Mary Verga | Occupational Therapist | 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 | 2019-03-06 |
| 1649736752 | Proton International Alabama, LLC | Clinic/Center | 400 20th Street South, Birmingham, AL 35233 | 2019-02-13 |
| 1447728910 | Eric Jackson | Specialist/Technologist | 1219 6th Ave S, Birmingham, AL 35233 | 2018-11-02 |
| Find all providers in zip 35233 | ||||
| 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 |
|---|---|---|---|---|
| 1629679295 | Maltiece O'neal El | Physician Assistant | 1331 14th Ave S Apt 12, Birmingham, AL 35205-5341 | 2020-11-02 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1437769981 | Kelsey Marie Robinson | Physician Assistant | 2400 Mahaska Dr, Birmingham, AL 35244-2241 | 2020-08-08 |
| 1508475740 | Stephanie Joseph Gilkey | Physician Assistant | 1505 Pleasant Ct, Birmingham, MI 48009-2909 | 2020-07-23 |
| 1619591922 | Alec Weil | Physician Assistant | 1400 19th St S, Birmingham, AL 35205-4903 | 2020-06-02 |
| 1689293888 | Molly Lynn Miller | Physician Assistant | 619 19th St S Fl 6, Birmingham, AL 35249-1900 | 2020-04-09 |
| 1730712571 | Emily Fallon Wilson | Physician Assistant | 3686 Grandview Pkwy Ste 530, Birmingham, AL 35243-3405 | 2020-02-20 |
| 1538791074 | Caroline Garrison Inge | Physician Assistant | 2700 10th Ave S Ste 505, Birmingham, AL 35205-1250 | 2020-02-11 |
| 1770114274 | Christopher Hopfner | Physician Assistant | 1809 Haynes St, Birmingham, MI 48009-6822 | 2020-02-03 |
| 1821550815 | Rebecca Brajak | Physician Assistant | 48 Medical Park Dr E Ste 150, Birmingham, AL 35235-3456 | 2019-04-01 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35233 |
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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.