MR. CLIFTON PAUL GOODENOUGH JR. (NPI# 1649457904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649457904 |
| Entity Type | Individual |
| Full Name | MR. CLIFTON PAUL GOODENOUGH JR. |
| Credential | RN |
| Practice Address |
6320 W Cortez St Glendale AZ 85304-3123 |
| Practice Telephone | 6022775551 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
RN086954 | AZ | Nursing Service Providers |
| Street Address |
6320 W CORTEZ ST |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85304-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
| 1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
| 1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
| 1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| Find all providers in zip 85304 | ||||
| Taxonomy Code | 163WI0500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215453246 | Abigail Plumley | Registered Nurse | 20280 N 59th Ave Ste 115, Glendale, AZ 85308-6858 | 2017-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396248738 | Arizona Iv Solutions LLC | Registered Nurse | 4500 N Flecha Dr, Tucson, AZ 85718-6726 | 2018-03-12 |
| 1356953830 | Vitafuse, LLC | Registered Nurse | 1940 E Thunderbird Rd Ste 103, Phoenix, AZ 85022-5760 | 2020-08-17 |
| 1174085500 | Vitamindrip-tucson LLC | Registered Nurse | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2019-04-04 |
| 1104149673 | Melanie Bostwick | Registered Nurse | 167 N Main Street, Tuba City, AZ 86045 | 2010-03-11 |
| 1760667166 | Joyce A. Morrison | Registered Nurse | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2008-01-03 |
Please comment or provide details below to improve the information on MR. CLIFTON PAUL GOODENOUGH JR..
| 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.