DEBRA P GOODWIN (NPI# 1740258854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740258854 |
| Entity Type | Individual |
| Full Name | DEBRA P GOODWIN |
| Credential | PAC |
| Practice Address |
3691 Crescent Ct E Ste 201 Whitehall PA 18052-3433 |
| Mailing Address |
Po Box 1754 Allentown PA 18105-1754 |
| Practice Telephone | 6104349561 |
| Practice Fax Number | 6104345122 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2014-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | OA000467L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | MA003213L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3691 CRESCENT CT E STE 201 |
| City | WHITEHALL |
| State | PA |
| Zip Code | 18052-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396711537 | Timothy A Smolenyak | Physician Assistant | 3691 Crescent Ct E, Ste 201, Whitehall, PA 18052-3433 | 2006-02-27 |
| 1114365194 | Jennifer Laura Stockhausen | Family Medicine | 3691 Crescent Ct E, Whitehall, PA 18052-3433 | 2013-06-12 |
| 1619298973 | Lynn Marie Wilson | Family Medicine | 3691 Crescent Ct E, Whitehall, PA 18052-3498 | 2010-06-21 |
| 1245568401 | Lehigh Valley Physician Group | Family Medicine | 3691 Crescent Ct E, Suite 201, Whitehall, PA 18052-3433 | 2009-11-30 |
| 1700037751 | Mary K Mitchell | Family Medicine | 3691 Crescent Ct E, Suite 100, Whitehall, PA 18052-3433 | 2008-10-08 |
| 1518182179 | Anthony F Friendy | Physician Assistant | 3691 Crescent Ct E, Whitehall, PA 18052-3498 | 2007-04-17 |
| 1477567048 | Health Care Associates, P.C. | Internal Medicine | 3691 Crescent Ct E, Suite 100, Whitehall, PA 18052-3433 | 2006-07-28 |
| 1467471623 | Health Care Associates, P.C. | Internal Medicine | 3691 Crescent Ct E, Suite 201, Whitehall, PA 18052-3433 | 2006-07-19 |
| 1104857812 | Patricia A. Deangelis | Family Medicine | 3691 Crescent Ct E, Whitehall, PA 18052-3498 | 2006-07-05 |
| 1972546463 | Larry Todd | Family Medicine | 3691 Crescent Ct E, Suite 201, Whitehall, PA 18052-3433 | 2006-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228870 | Alexandra Podlesny | Family Medicine | 1401 Fairmount St, Whitehall, PA 18052 | 2020-06-05 |
| 1346894805 | Christopher Guidon | Physician Assistant | 2402 Macarthur Rd., Whitehall, PA 18052 | 2019-08-01 |
| 1255824314 | Kenneth C Fulton-resig | Counselor | 4772 Main Street, Whitehall, PA 18052 | 2018-06-12 |
| 1023505294 | St. Luke's Physician Group, Inc. | Internal Medicine | 2416 3rd Avenue, Whitehall, PA 18052 | 2018-04-13 |
| 1831617869 | Veronica Taylor | Specialist | 4150 Red Bud Dr W, Whitehall, PA 18052 | 2017-08-30 |
| 1467800466 | Princy Ann Koshy | Family Medicine | 3691 Crescent Ct E Ste 201, Whitehall, PA 18052 | 2016-05-31 |
| 1649642612 | Renae N Defreitas | Nurse Practitioner | 2402 Macarthur Rd, Whitehall, PA 18052 | 2015-10-29 |
| 1063718856 | Christy Lynn Kroboth | Registered Nurse | 3000 Fellowship Drive, Whitehall, PA 18052 | 2011-01-27 |
| 1003134818 | Bruce C Trout | Pharmacist | 3671 Crescent Ct E., Whitehall, PA 18052 | 2010-05-04 |
| 1982921359 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 400 Lehigh Valley Mall, Whitehall, PA 18052 | 2010-04-26 |
| Find all providers in zip 18052 | ||||
| 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 |
|---|---|---|---|---|
| 1346894805 | Christopher Guidon | Physician Assistant | 2402 Macarthur Rd., Whitehall, PA 18052 | 2019-08-01 |
| 1396711537 | Timothy A Smolenyak | Physician Assistant | 3691 Crescent Ct E, Ste 201, Whitehall, PA 18052-3433 | 2006-02-27 |
| 1821079567 | Marilyn Daly | Physician Assistant | 4 Boardman St, Whitehall, NY 12887-1422 | 2005-11-09 |
| 1407847841 | Madeleine Robinson Doane | Physician Assistant | 99 Buckley Rd, Whitehall Elementary School, Whitehall, NY 12887-3633 | 2005-11-03 |
| 1629064266 | Steven Forest Sacry | Physician Assistant | 108 First St W, Whitehall, MT 59759-0339 | 2005-09-20 |
| 1033525860 | Brian S Vike | Physician Assistant | 18606 Ervin St, Whitehall, WI 54773-8613 | 2014-07-01 |
| 1932403037 | Desiree Lee Elliot | Physician Assistant | 905 E Colby St, Whitehall, MI 49461-1262 | 2011-01-04 |
| 1386713204 | Valerie A Lazar | Physician Assistant | 1401 Fairmont St, Whitehall, PA 18052 | 2006-11-07 |
| 1316942865 | Jeffery Scott Herried | Physician Assistant | 18606 Ervin St, Whitehall, WI 54773-8613 | 2005-06-20 |
| 1023013364 | Mark R Zellmer | Physician Assistant | 18606 Ervin St, Whitehall, WI 54773-8613 | 2005-06-14 |
| Find all providers in WHITEHALL | ||||
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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.