Theresa Goodenough (NPI# 1649646183, PAC ID# 3577864388) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1649646183 |
| PAC ID by PECOS | 3577864388 |
| Professional Enrollment ID | I20180910002147 |
| Full Name | Theresa Goodenough |
| Address |
384 S Pantops Dr Charlottesville VA 22911-8678 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 384 S Pantops Dr, Charlottesville, VA 22911-8678 |
| Street Address |
384 S PANTOPS DR |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip | 22911-8678 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martha E Mccoy | Clinical Social Worker | 315 Winding River Lane, Suite 201, Charlottesville, VA 22911 | |
| Michelle Heppner | Chiropractic | 3450 Seminole Trl, Suite 105, Charlottesville, VA 22911-2210 | |
| Terry P Muller | Psychologist, Clinical | 154 Hansen Rd, Suite 202 D, Charlottesville, VA 22911-3552 | |
| Richard B Messinger | Interventional Pain Management | Charlottesville Interventional Pain Management LLC | 2050 Abbey Rd, Suite A, Charlottesville, VA 22911-3553 |
| Robert J Baglio | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 2050 Abbey Rd, Suite C, Charlottesville, VA 22911-3553 |
| Rasheed A Siddiqui | Interventional Pain Management | Charlottesville Interventional Pain Management LLC | 2050 Abbey Rd, Suite A, Charlottesville, VA 22911-3553 |
| Samuel H Schustek | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 2050 Abbey Rd, Suite C, Charlottesville, VA 22911-3553 |
| Stephen J Blanchard | Certified Registered Nurse Anesthetist | Dreamworks Anesthesia, Inc | 2050 Abbey Rd, Charlottesville, VA 22911-3553 |
| Christina Marie Bove | Cardiovascular Disease (cardiology) | 300 Hickman Rd, Suite 202, Charlottesville, VA 22911-3554 | |
| Bonnie L Lungren | Clinical Social Worker | Bonnie Lungren LLC | 315 Winding River Ln, Charlottesville, VA 22911-3568 |
| Find all physicians in zip 22911 | |||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHARLOTTESVILLE + NURSE PRACTITIONER |
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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.