BONNIE J GOODWIN (NPI# 1922091875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922091875 |
| Entity Type | Individual |
| Full Name | BONNIE J GOODWIN |
| Credential | MD |
| Practice Address |
137 Medical Lane Pollocksville NC 28573 |
| Mailing Address |
Po Box 896206 Charlotte NC 28289-6206 |
| Practice Telephone | 2526331010 |
| Practice Fax Number | 2522243071 |
| Mailing Telephone | 2526331010 |
| Mailing Fax Number | 2522243071 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2017-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
27049 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8936266 | 05 | |
| NC | BLUE CROSS | 36266 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700801099 | Bonnie Sue Goodwin | Nurse Practitioner | 5225 Poplar Tent Rd, Minuteclinic Diagnostic of North Carolina, Concord, NC 28027-7757 | 2006-07-13 |
| 1972715944 | Bonnie Marie Goodwin | Specialist/Technologist | 1 College and Main, Columbus, OH 43209-7812 | 2007-05-04 |
| Street Address |
137 MEDICAL LANE |
| City | POLLOCKSVILLE |
| State | NC |
| Zip Code | 28573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245223379 | Jerry Donald Day Jr. | Physician Assistant | 137 Medical Lane, Pollocksville, NC 28573 | 2005-08-24 |
| 1750507786 | Shannon Chambers Semple | Physician Assistant | 137 Medical Lane, Pollocksville, NC 28573 | 2007-04-18 |
| 1487765632 | Gerard M Mcphee | Radiology | 137 Medical Lane, Pollocksville, NC 28573 | 2006-08-31 |
| 1700836681 | Daniel R Champey | Psychiatry & Neurology | 137 Medical Lane, Pollocksville, NC 28573-0068 | 2006-05-11 |
| 1356336895 | Michael E Davis | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573 | 2005-09-12 |
| 1821082975 | Christopher R Atkinson | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573-8200 | 2005-09-06 |
| 1013901164 | Nicholas Farina | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573 | 2005-09-06 |
| 1598759896 | Eastern Carolina Internal Medicine Pa | Clinic/Center | 137 Medical Lane, Pollocksville, NC 28573-0068 | 2005-09-01 |
| 1316931611 | Neil C Bender | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573 | 2005-09-01 |
| 1831182336 | Russell E Burgess | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573 | 2005-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548489917 | Benjamin Donald Gilmore | Physical Therapist | 215 Foy St, Pollocksville, NC 28573 | 2007-04-24 |
| 1679623607 | Allen Drugs Inc | Pharmacy | 9026 Highway 17, Pollocksville, NC 28573 | 2007-01-11 |
| 1285722777 | Sherry Mattocks Jarman | Counselor | 10774 Highway 17 South, Pollocksville, NC 28573 | 2006-10-10 |
| 1043243835 | Tar Heel Health Care Services, LLC | Home Health | 121 Techcon Way, Pollocksville, NC 28573 | 2006-07-08 |
| 1851385025 | Tammy Waits Stimson | Nurse Practitioner | 137 Medical Ln, Pollocksville, NC 28573 | 2005-09-02 |
| 1891742763 | Brian Averell | Psychiatry & Neurology | 137 Medical Ln, Pollocksville, NC 28573 | 2006-05-27 |
| 1093005217 | Realo Discount Drug of Pollocksville | Pharmacy | 9041 Hwy 17, Pollocksville, NC 28573-0027 | 2011-04-08 |
| 1285094730 | Rommel Soriano | Physical Therapist | 214 Main St, Pollocksville, NC 28573-5002 | 2016-02-26 |
| 1023577384 | Kacia Kristin Mccaghren Bray | Speech-Language Pathologist | 301 Magg Smith Rd, Pollocksville, NC 28573-5904 | 2019-03-17 |
| 1245659226 | Colleen Marie Stack | Psychiatry & Neurology | 137 Medical Ln, Pollocksville, NC 28573-8200 | 2014-04-07 |
| Find all providers in zip 28573 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831182336 | Russell E Burgess | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909816 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 660, Charlotte, NC 28204-3215 | 2020-07-16 |
| 1346858487 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 560, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1295343341 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 640, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1881212215 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1720606486 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1720606445 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1235757352 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 | 2020-07-07 |
| 1811517311 | Rowan Regional Medical Center, Inc. | Internal Medicine | 631 Mocksville Ave, Ste 1020, Salisbury, NC 28144-2731 | 2020-04-24 |
| 1154955995 | Mohamed Sobhy Elhusseini Yassin | Internal Medicine | 2400 Pratt St Ste 5000, Durham, NC 27705-3976 | 2020-03-02 |
| 1164944377 | David Michael Ashley | Internal Medicine | Department of Neurosurgery Duke University Ctr, Durham, NC 27710-0001 | 2017-07-10 |
| Find all providers with the same taxonomy | ||||
| City | POLLOCKSVILLE |
| Zip Code | 28573 |
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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.