Whitney J. Goodwin (NPI# 1013030782, PAC ID# 2769583525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
Nation Provider ID (NPI) | 1013030782 |
PAC ID by PECOS | 2769583525 |
Professional Enrollment ID | I20070723000874 |
Full Name | Whitney J. Goodwin |
Organization Legal Name | NEPHROLOGY ASSOCIATES PA |
Address |
11771 Maumelle Blvd North Little Rock AR 72113-6558 |
Phone Number | 5017534537 |
Gender | M |
Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
Graduation Year | 2001 |
Primary Specialty | INTERVENTIONAL RADIOLOGY |
Secondary Specialties | DIAGNOSTIC RADIOLOGY |
Group Practice PAC ID | 1557342334 |
Number of Group Practice Members | 15 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
040114 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
040036 | BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK |
040154 | BAPTIST HEALTH MEDICAL CENTER-CONWAY |
040084 | SALINE MEMORIAL HOSPITAL |
041321 | BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA |
Address | Phone | Organization |
---|---|---|
9601 Baptist Health Dr, Suite 1100, Little Rock, AR 72205-6333 | 5012275240 | RADIOLOGY CONSULTANTS OF LITTLE ROCK, PA |
11771 Maumelle Blvd, North Little Rock, AR 72113-6558 | 5017534537 | NEPHROLOGY ASSOCIATES PA |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 95% | |
MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 93% |
Organization Legal Name | NEPHROLOGY ASSOCIATES PA |
Physicians | 74 |
Name | Specialty | Organization | Address |
---|---|---|---|
Priya Dubey | Nurse Practitioner | Nephrology Associates Pa | 1198 S Governors Ave, Suite B100, Dover, DE 19904-6930 |
Emily Allen | Nurse Practitioner | Nephrology Associates Pa | 8907 Kanis Rd, Suite 330, Little Rock, AR 72205-6451 |
Sara E Vote | Nurse Practitioner | Nephrology Associates Pa | 2445 Christina Ln, Suite B, Conway, AR 72034-7047 |
Jackline K Nanga-nsemwa | Nurse Practitioner | Nephrology Associates Pa | 137 W High St, Suite 1a, Elkton, MD 21921-8614 |
Wilson Nino | Nephrology | Nephrology Associates Pa | 201 W Liberty Way, Milford, DE 19963-5399 |
Ramesh Bhoothapuri | Nephrology | Nephrology Associates Pa | 1436 Riverchase Blvd, Rock Hill, SC 29732-1777 |
Eric Wayne Peterson | Nephrology | Nephrology Associates Pa | 1658 Hwy 160 W, Fort Mill, SC 29708-8024 |
Jean Ann Yaccino | Nephrology | Nephrology Associates Pa | 34434 King St Row, Suite 4, Lewes, DE 19958-4787 |
Manmeet Brar | Nephrology | Nephrology Associates Pa | 4923 Ogletown Stanton Rd, Suite 200, Newark, DE 19713-2081 |
Shadrienne Williams | Physician Assistant | Nephrology Associates Pa | 701 N Clayton St, Suite 401, Wilmington, DE 19805-3165 |
Street Address |
11771 MAUMELLE BLVD |
City | NORTH LITTLE ROCK |
State | AR |
Zip | 72113-6558 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph S Konrad | Interventional Radiology | Nephrology Associates Pa | 11771 Maumelle Blvd, North Little Rock, AR 72113-6558 |
David Heister | Interventional Radiology | Nephrology Associates Pa | 11771 Maumelle Blvd, North Little Rock, AR 72113-6558 |
Kenneth V Robbins | Interventional Radiology | Nephrology Associates Pa | 11771 Maumelle Blvd, North Little Rock, AR 72113-6558 |
Craig M Steeds | Interventional Radiology | Nephrology Associates Pa | 11771 Maumelle Blvd, North Little Rock, AR 72113-6558 |
Amy C Taylor | Interventional Radiology | Nephrology Associates Pa | 11771 Maumelle Blvd, North Little Rock, AR 72113-6558 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy Sanders | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 500, Maumelle, AR 72113-5505 |
Kerry R Cook | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 500, Maumelle, AR 72113-5505 |
Kimberly G Tanner | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
Lauren Leeann Mathews | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
Allison E Doss | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
William Alan Walker | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
Sarah Joy Cook | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
Amanda Stark | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
Chelsea Lauren Havelka | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
Joel David Larru | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 123 Audubon Dr, Suite 600, Maumelle, AR 72113-5506 |
Find all physicians in zip 72113 |
City | NORTH LITTLE ROCK |
Zip Code | 72113 |
Specialty | INTERVENTIONAL RADIOLOGY |
City + Specialty | NORTH LITTLE ROCK + INTERVENTIONAL RADIOLOGY |
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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.