Blaine E Goodman (NPI# 1104483718, PAC ID# 3173857570) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1104483718 |
| PAC ID by PECOS | 3173857570 |
| Professional Enrollment ID | I20190618002701 |
| Full Name | Blaine E Goodman |
| Organization Legal Name | PHELPS COUNTY REGIONAL MEDICAL CENTER |
| Address |
1000 W 10th St Phelps Health Rolla MO 65401-2905 |
| Phone Number | 5734588899 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2860391158 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260017 | PHELPS COUNTY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 | 5734588899 | PHELPS COUNTY REGIONAL MEDICAL CENTER |
| Organization Legal Name | PHELPS COUNTY REGIONAL MEDICAL CENTER |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph W Meyerott | Certified Registered Nurse Anesthetist (crna) | Phelps County Regional Medical Center | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Collin M Dobson | Certified Registered Nurse Anesthetist (crna) | Phelps County Regional Medical Center | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Jason A Corey | Certified Registered Nurse Anesthetist (crna) | Phelps County Regional Medical Center | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Terrill A Emmett | Nurse Practitioner | Phelps County Regional Medical Center | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| John T Fitzgerald | Certified Registered Nurse Anesthetist (crna) | Phelps County Regional Medical Center | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Jeffrey D Heese | Certified Registered Nurse Anesthetist (crna) | Phelps County Regional Medical Center | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Christopher M Black | Certified Registered Nurse Anesthetist (crna) | Phelps County Regional Medical Center | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Curtis R Robison | Certified Registered Nurse Anesthetist (crna) | Phelps County Regional Medical Center | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Michael F Jones | Certified Registered Nurse Anesthetist (crna) | Phelps County Regional Medical Center | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Jeffrey J Colench | Certified Registered Nurse Anesthetist (crna) | Phelps County Regional Medical Center | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Street Address |
1000 W 10TH ST PHELPS HEALTH |
| City | ROLLA |
| State | MO |
| Zip | 65401-2905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy E Torres | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
| Candy L Sadler | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
| Joseph W Meyerott | Certified Registered Nurse Anesthetist (crna) | Phelps County Regional Medical Center | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Jennifer L Bremer | Physician Assistant | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
| James J Spadaro | Cardiovascular Disease (cardiology) | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
| Farrokh Dehdashti | Nuclear Medicine | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Maria R Ponisio | Nuclear Medicine | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Christin L Hylton | Physician Assistant | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
| Matthew S Parsons | Diagnostic Radiology | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Ali Y Mian | Diagnostic Radiology | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bohdan A Lebedowicz | Internal Medicine | Pcrmc Medical Group, Inc | 1800 White Columns Dr, Rolla Manor Care, Rolla, MO 65401-2044 |
| Sean L Harris | Nurse Practitioner | South Central Missouri Community Health Center | 1081 E 18th St, Rolla, MO 65401-2448 |
| Sharon Renee Anderson | Podiatry | Mid-missouri Foot and Ankle Center | 1210 Homelife Plz, Rolla, MO 65401-2512 |
| Dixie Fox | Podiatry | Mid-missouri Foot and Ankle Center | 1210 Homelife Plz, Rolla, MO 65401-2512 |
| Tim M Rhoads | Chiropractic | 1201 C Forum Dr, Rolla, MO 65401-2587 | |
| Jacob G Heaberlin | Chiropractic | 1201 Forum Dr, Suite B, Rolla, MO 65401-2587 | |
| Vernon Edward Falkenhain | Optometry | V.e. Falkenhain O.d. and Associates PC | 1001 N Pine St, Rolla, MO 65401-2824 |
| David E Falkenhain | Optometry | V.e. Falkenhain O.d. and Associates PC | 1001 N Pine St, Rolla, MO 65401-2824 |
| Joel Amos Leon Becerril | Urology | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
| Jinna M Lisenbe | Nurse Practitioner | Pcrmc Medical Group, Inc | 1060 W 10th St, Delbert Day Cancer Inst, Rolla, MO 65401-2905 |
| Find all physicians in zip 65401 | |||
| City | ROLLA |
| Zip Code | 65401 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ROLLA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Blaine E Goodman.
| 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.