Taryna J Goodman (NPI# 1104928878, PAC ID# 3870694326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1104928878 |
PAC ID by PECOS | 3870694326 |
Professional Enrollment ID | I20070817000437 |
Full Name | Taryna J Goodman |
Address |
496 Shoup Ave W Suite E Twin Falls ID 83301-5043 |
Gender | F |
Graduation Year | 2006 |
Primary Specialty | NURSE PRACTITIONER |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
130002 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
496 Shoup Ave W, Suite E, Twin Falls, ID 83301-5043 |
Street Address |
496 SHOUP AVE W SUITE E |
City | TWIN FALLS |
State | ID |
Zip | 83301-5043 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sara L Johnson | Family Practice | 496 Shoup Ave W, Suite E, Twin Falls, ID 83301-5043 |
Name | Specialty | Organization | Address |
---|---|---|---|
John L Etcheto | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
Daniel M Wettstein | Podiatry | 176 Falls Ave, Suite 200, Twin Falls, ID 83301-2306 | |
Clinton L Dille | Anesthesiology | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
Benjamin W Attebury | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
Johnny M Urrutia | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
Ronald E Mcgarrigle | Anesthesiology | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
Tammy L Emerson | Qualified Speech Language Pathologist | 450 Falls Ave, Twin Falls, ID 83301-2307 | |
Todd G Hastings | Preventative Medicine | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
Thomas W Dirocco | Hospitalist | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
Mark J Edlund | Psychiatry | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
Find all physicians in zip 83301 |
City | TWIN FALLS |
Zip Code | 83301 |
Specialty | NURSE PRACTITIONER |
City + Specialty | TWIN FALLS + 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.