Angie Goodman (NPI# 1790002004, PAC ID# 4880835545) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1790002004 |
| PAC ID by PECOS | 4880835545 |
| Professional Enrollment ID | I20130723001016 |
| Full Name | Angie Goodman |
| Organization Legal Name | NORTHWEST OHIO ORTHOPEDICS AND SPORTS MEDICINE INC |
| Address |
1069 Klotz Rd Suite A Bowling Green OH 43402-4832 |
| Phone Number | 4197280110 |
| Gender | F |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4082528484 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360029 | WOOD COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1069 Klotz Rd, Suite A, Bowling Green, OH 43402-4832 | 4197280110 | NORTHWEST OHIO ORTHOPEDICS AND SPORTS MEDICINE INC |
| Organization Legal Name | NORTHWEST OHIO ORTHOPEDICS AND SPORTS MEDICINE INC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Etler | Physical Therapy | Northwest Ohio Orthopedics and Sports Medicine Inc | 7595 Hancock County Rd, Suite 236, Findlay, OH 45840 |
| Jacqueline M Boucher | Physician Assistant | Northwest Ohio Orthopedics and Sports Medicine Inc | 15054 State Route 224 E, Findlay, OH 45840-9794 |
| Larry Rosenberger Ii | Nurse Practitioner | Northwest Ohio Orthopedics and Sports Medicine Inc | 3101 W Us, Suite 224, Tiffin, OH 44883 |
| Jeffrey Bentley Noftz Ii | Family Medicine | Northwest Ohio Orthopedics and Sports Medicine Inc | 950 W Wooster St, Bowling Green, OH 43402-2603 |
| Jana Marie Lortz | Occupational Therapy | Northwest Ohio Orthopedics and Sports Medicine Inc | 3101 W Us, Suite 224, Tiffin, OH 44883 |
| Kendra L Elchert | Occupational Therapy | Northwest Ohio Orthopedics and Sports Medicine Inc | 3101 W Us, Suite 224, Tiffin, OH 44883 |
| Eileen Marie Herriott | Physical Therapy | Northwest Ohio Orthopedics and Sports Medicine Inc | 950 W Wooster St, Bowling Green, OH 43402-2603 |
| Darin Duane Nye | Orthopedic Surgery | Northwest Ohio Orthopedics and Sports Medicine Inc | 7595 Hancock County Rd, Suite 236, Findlay, OH 45840 |
| Julie Christine Boucher | Occupational Therapy | Northwest Ohio Orthopedics and Sports Medicine Inc | 3101 W Us, Suite 224, Tiffin, OH 44883 |
| Julie Melendez | Nurse Practitioner | Northwest Ohio Orthopedics and Sports Medicine Inc | 950 W Wooster St, Bowling Green, OH 43402-2603 |
| Street Address |
1069 KLOTZ RD SUITE A |
| City | BOWLING GREEN |
| State | OH |
| Zip | 43402-4832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Bates | Nurse Practitioner | Specialty Physicians of Blanchard Valley LLC | 1069 Klotz Rd, Bowling Green, OH 43402-4828 |
| Brooke E Warnecke | Nurse Practitioner | Northwest Ohio Orthopedics and Sports Medicine Inc | 1069 Klotz Rd, Suite A, Bowling Green, OH 43402-4832 |
| Nancy Jeanne Martin | Nurse Practitioner | Northwest Ohio Orthopedics and Sports Medicine Inc | 1069 Klotz Rd, Suite A, Bowling Green, OH 43402-4832 |
| Matthew Tyler Recker | Physical Therapy | Northwest Ohio Orthopedics and Sports Medicine Inc | 1069 Klotz Rd, Suite A, Bowling Green, OH 43402-4832 |
| Michael T Travis | Physical Therapy | Northwest Ohio Orthopedics and Sports Medicine Inc | 1069 Klotz Rd, Suite A, Bowling Green, OH 43402-4832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lois Anne Nelson | Allergy/immunology | 960 W Wooster, Suite 108, Bowling Green, OH 43402 | |
| Mark A Weiner | Family Medicine | Senior Care Physicians, Inc. | 850 W Poe Rd, Bowling Green, OH 43402-1219 |
| Laurie A Schnipke | Nurse Practitioner | Senior Care Physicians, Inc. | 850 W Poe Rd, Bowling Green, OH 43402-1219 |
| Deborah F Dugan | Nurse Practitioner | Senior Care Physicians, Inc. | 850 W Poe Rd, Bowling Green, OH 43402-1219 |
| Justin P Crowley | Physician Assistant | Senior Care Physicians, Inc. | 850 W Poe Rd, Bowling Green, OH 43402-1219 |
| John Both | Family Medicine | Senior Care Physicians, Inc. | 850 W Poe Rd, Bowling Green, OH 43402-1219 |
| Cynthia Nye | Nurse Practitioner | Senior Care Physicians, Inc. | 850 W Poe Rd, Bowling Green, OH 43402-1219 |
| Robert R Daiber | Family Medicine | Senior Care Physicians, Inc. | 850 W Poe Rd, Bowling Green, OH 43402-1219 |
| David G Zick | Psychiatry | Harbor | 1010 N Prospect St, Bowling Green, OH 43402-1335 |
| Madeline A Macdonald | Certified Clinical Nurse Specialist (cns) | Harbor | 1010 N Prospect St, Bowling Green, OH 43402-1335 |
| Find all physicians in zip 43402 | |||
| City | BOWLING GREEN |
| Zip Code | 43402 |
| Specialty | PODIATRY |
| City + Specialty | BOWLING GREEN + PODIATRY |
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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.