Miranda A Goodale (NPI# 1003858762, PAC ID# 1759380116) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1003858762 |
| PAC ID by PECOS | 1759380116 |
| Professional Enrollment ID | I20061212000467 |
| Full Name | Miranda A Goodale |
| Address |
955 W Craig Ave Brazil IN 47834-7400 |
| Gender | F |
| Credential | DPM |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151309 | ST. VINCENT CLAY HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 955 W Craig Ave, Brazil, IN 47834-7400 |
| Street Address |
955 W CRAIG AVE |
| City | BRAZIL |
| State | IN |
| Zip | 47834-7400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia L Reed-thomas | Optometry | 603 W National Ave, Brazil, IN 47834-0188 | |
| Nilah Nicole Bonham | Optometry | 325 W National Ave, Brazil, IN 47834-2542 | |
| Adrienne Ann Hagedorn | Chiropractic | A Back and Neck Pain Center Inc | 501 Us Hwy 40 E, Brazil, IN 47834-2633 |
| Michael E Whitman | Chiropractic | A Back and Neck Pain Center Inc | 501 Us Hwy 40 E, Brazil, IN 47834-2633 |
| Richard Bryan Cox | Family Medicine | St Vincent Medical Group Inc | 1214 E National Ave, Suite 100, Brazil, IN 47834-2700 |
| Janice Sandra Lumnitz | Family Practice | St Vincent Medical Group Inc | 1214 E National Ave, Suite 100, Brazil, IN 47834-2700 |
| Freya G Paje | Internal Medicine | Internal Medicine Practice LLC | 1011 E National Ave, Brazil, IN 47834-2713 |
| Sally Sidman | Emergency Medicine | Indiana Physician Management-clay, LLC | 1206 E National Ave, Brazil, IN 47834-2718 |
| Paul N Houston Iii | Family Medicine | 1216 E National Ave, Brazil, IN 47834-2718 | |
| Matthew Hoskins | Family Medicine | Indiana Physician Management-clay, LLC | 1206 E National Ave, Brazil, IN 47834-2718 |
| Find all physicians in zip 47834 | |||
| City | BRAZIL |
| Zip Code | 47834 |
| Specialty | PODIATRY |
| City + Specialty | BRAZIL + PODIATRY |
Please comment or provide details below to improve the information on Miranda A Goodale.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.