JEFFREY THOMAS GOODWIN (NPI# 1881665404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881665404 |
| Entity Type | Individual |
| Full Name | JEFFREY THOMAS GOODWIN |
| Credential | MD |
| Practice Address |
7007 S Shore Dr Altoona WI 54720-2381 |
| Practice Telephone | 7158317802 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2016-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
32727 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31682000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1639531999 | Jeffrey David Goodwin | Urology | 800 Rose St, Lexington, KY 40536-7001 | 2016-03-25 |
| 1649609967 | Jeffrey Goodwin | Pharmacist | 5600 Debarr Rd, Anchorage, AK 99504-2300 | 2013-11-07 |
| 1295862118 | Jeffrey G. Goodwin | Chiropractor | 1223 W Mcdermott Dr, Suite 70, Allen, TX 75013-6412 | 2007-02-27 |
| Street Address |
7007 S SHORE DR |
| City | ALTOONA |
| State | WI |
| Zip Code | 54720-2381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1821541046 | Stephanie Meyer | Optometrist | 3063 Meadowlark Ln, #10, Altoona, WI 54720 | 2016-07-25 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| 1669826095 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 286 North Willson Dr., Altoona, WI 54720 | 2016-04-22 |
| 1366881781 | Ingrid Ellen Schroeder | Occupational Therapy Assistant | 1203 Bartlett Avenue, Altoona, WI 54720 | 2013-06-19 |
| 1790972099 | Assisted Living Concepts Inc | Assisted Living Facility | 342 Twin Oak Drive, Altoona, WI 54720 | 2007-10-01 |
| 1427262302 | Amanda Lynn Busse | Occupational Therapy Assistant | 2512 New Pine Drive, Altoona, WI 54720 | 2007-05-09 |
| 1316954928 | Oral and Maxillofacial Surgery Asso of Eau Claire Sc | Oral & Maxillofacial Surgery | 788 Oakleaf Way, Altoona, WI 54720 | 2006-08-03 |
| 1740230838 | Jodi Hansen Ritsch | Family Medicine | 1476 Blazing Star Blvd, Suite 4, Altoona, WI 54720 | 2006-05-11 |
| 1225095508 | Kirsten L Taylor | Counselor | 2519 North Hillcrest Parkway, Suite 103, Altoona, WI 54720 | 2006-04-28 |
| Find all providers in zip 54720 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699069393 | James Leo Nasralla | Radiology | 620 Howard Ave, Altoona, PA 16601 | 2011-05-31 |
| 1881910974 | Lexington Radiology Inc | Radiology | 620 Howard Ave, Altoona, PA 16601-4804 | 2010-04-14 |
| 1699090266 | Keni Augustin | Radiology | 620 Howard Ave, Altoona, PA 16601-4804 | 2010-04-07 |
| 1669439444 | Michael E Shivers | Radiology | 620 Howard Ave, Altoona, PA 16601-4804 | 2006-04-27 |
| 1417918756 | Frank Olney & Rudy Nicolas Ptrs | Radiology | 2950 Fairway Dr, Altoona, PA 16602-4494 | 2006-03-28 |
| 1245210608 | Richard Wertz | Radiology | 620 Howard Ave, Altoona, PA 16601-4804 | 2006-01-20 |
| 1447230974 | Arun Patel | Radiology | 620 Howard Ave, Altoona, PA 16601-4804 | 2006-01-19 |
| 1851371389 | Ronald Kihm | Radiology | 620 Howard Ave, Altoona, PA 16601-4804 | 2006-01-19 |
| 1043290034 | Sylvan Radiology Associates Inc | Radiology | 620 Howard Ave, Altoona, PA 16601-4804 | 2006-01-18 |
| 1447230537 | Esiri Karunaratne | Radiology | 620 Howard Ave, Altoona, PA 16601-4804 | 2006-01-17 |
| Find all providers in ALTOONA | ||||
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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.