DR. CHARLES JEFFERY GOODWIN (NPI# 1710001607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710001607 |
| Entity Type | Individual |
| Full Name | DR. CHARLES JEFFERY GOODWIN |
| Credential | M.D. |
| Practice Address |
101 Hospital Blvd Jeffersonville IN 47130-3769 |
| Practice Telephone | 8122823899 |
| Mailing Telephone | 8122823899 |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2014-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 01061089A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICAL LICENSE | 01061089A | 01 |
| IN | 200913700 | 05 | |
| KY | MEDICAL LICENSE | 41679 | 01 |
| KY | 7100059660 | 05 | |
| ANTHEM FACET | 000000565585 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457492639 | Charles M Goodwin | Chiropractor | 111 Dakota Ave Ste 2, Santa Cruz, CA 95060-6626 | 2007-02-09 |
| 1124180344 | Charles James Goodwin | Dentist | 360 9th Ave Dr Ne, Hickory, NC 28601 | 2006-12-14 |
| 1104894625 | Charles Goodwin | Specialist/Technologist | 180 Center St, Clements Center, Westerville, OH 43081-1405 | 2006-03-10 |
| 1477520237 | Charles Lindy Goodwin | Dentist | 10001 S Penn, M240, Okalahoma City, OK 73159 | 2006-03-01 |
| 1528546710 | Charles Alexander Goodwin | Physical Therapist | 501 Park Hill Dr, Fredericksburg, VA 22401-3377 | 2018-07-31 |
| 1831576529 | Charles Goodwin | Internal Medicine | 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0002 | 2015-05-01 |
| 1689930638 | Charles William Goodwin | Physical Therapist | 13049 Frankstown Rd, Penn Hills, PA 15235-1952 | 2012-04-04 |
| 1922107978 | Charles Dru Goodwin | Surgery | 500 E Main St, Ste 102, Columbus, OH 43215-5369 | 2006-09-22 |
| 1326044314 | Charles Bradford Goodwin | Orthopaedic Surgery | 635 Madison Ave, Fl 7, New York, NY 10022-1009 | 2005-06-23 |
| Street Address |
101 HOSPITAL BLVD |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-3769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237577 | William Cooper Buschemeyer Jr. | Urology | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2005-07-01 |
| 1598379760 | Patrick S Bucayu | Registered Nurse | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2020-09-03 |
| 1700370491 | Sabina Sisic | Nurse Practitioner | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2018-06-18 |
| 1649799040 | Emmalee R Burns | Nurse Practitioner | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2017-09-18 |
| 1578008215 | Jennifer Ferree | Registered Nurse | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2017-01-05 |
| 1235523754 | Morgan Boston | Nurse Practitioner | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2015-03-23 |
| 1508267246 | Carrie Burke Chesher | Nurse Practitioner | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2014-09-12 |
| 1134520133 | Elizabeth A Mills | Nurse Practitioner | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2014-09-09 |
| 1629328075 | Stephanie A Corbett | Nurse Practitioner | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2012-09-13 |
| 1942562459 | Julie Bruce | Registered Nurse | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2012-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732475 | William K Schmied | Urology | 101 Hospital Blvd., Jeffersonville, IN 47130-3748 | 2005-10-04 |
| 1245237577 | William Cooper Buschemeyer Jr. | Urology | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2005-07-01 |
| 1861718553 | Ganesh Krishna Kartha | Urology | 101 Hospital Blvd, Q10, Jeffersonville, IN 47130-3769 | 2010-04-20 |
| 1053575365 | Aaron Blake Becker | Urology | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2008-07-16 |
| 1821296005 | John Bernard Eifler Jr. | Urology | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2007-07-10 |
| 1538284567 | Matthew David Peterson | Urology | 101 Hospital Blvd, Jeffersonville, IN 47130 | 2007-03-20 |
| 1316030612 | Christopher G Schrepferman | Urology | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2006-10-02 |
| 1871697052 | Dennis N. Smith | Urology | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2006-09-11 |
| 1538263777 | Stephan J Sweitzer | Urology | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2006-09-08 |
| 1497712889 | Robert M Lindner | Urology | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2006-04-28 |
| Find all providers in JEFFERSONVILLE | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
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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.