Thomas E Goodwin (NPI# 1649208851, PAC ID# 5799865192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1649208851 |
| PAC ID by PECOS | 5799865192 |
| Professional Enrollment ID | I20120313000401 |
| Full Name | Thomas E Goodwin |
| Organization Legal Name | THE SHOULDER CLINIC OF IDAHO PLLC |
| Address |
8854 W Emerald St Suite 102 Boise ID 83704-4845 |
| Phone Number | 2083234747 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 5698860021 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130063 | TREASURE VALLEY HOSPITAL |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8854 W Emerald St, Suite 102, Boise, ID 83704-4845 | 2083234747 | THE SHOULDER CLINIC OF IDAHO PLLC |
| Organization Legal Name | THE SHOULDER CLINIC OF IDAHO PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph R Lynch | Orthopedic Surgery | The Shoulder Clinic of Idaho Pllc | 8854 W Emerald St, Suite 102, Boise, ID 83704-4845 |
| Kathryn A Colson | Physician Assistant | The Shoulder Clinic of Idaho Pllc | 8854 W Emerald St, Suite 102, Boise, ID 83704-4845 |
| Michael R Nieraeth | Physician Assistant | The Shoulder Clinic of Idaho Pllc | 8854 W Emerald St, Suite 102, Boise, ID 83704-4845 |
| Thomas M Chopp | Orthopedic Surgery | The Shoulder Clinic of Idaho Pllc | 8854 W Emerald St, Suite 102, Boise, ID 83704-4845 |
| Louis A Burke | Physician Assistant | The Shoulder Clinic of Idaho Pllc | 8854 W Emerald St, Suite 102, Boise, ID 83704-4845 |
| Street Address |
8854 W EMERALD ST SUITE 102 |
| City | BOISE |
| State | ID |
| Zip | 83704-4845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey G Hessing | Orthopedic Surgery | Orthopaedic Associates, P.a. | 8854 W Emerald St, Suite 140, Boise, ID 83704-4845 |
| Troy B Watkins Jr. | Orthopedic Surgery | 8854 W Emerald St, Suite 170, Boise, ID 83704-4859 | |
| Timothy E Doerr | Orthopedic Surgery | Orthopaedic Associates, P.a. | 8854 W Emerald St, Suite 140, Boise, ID 83704-4845 |
| Ryan Douglas Applonie | Orthopedic Surgery | Orthopaedic Associates, P.a. | 8854 W Emerald St, Suite 140, Boise, ID 83704-4845 |
| Jon B Getz | General Surgery | 8854 W Emerald St, Suite 140, Boise, ID 83704-4845 | |
| Joseph R Lynch | Orthopedic Surgery | The Shoulder Clinic of Idaho Pllc | 8854 W Emerald St, Suite 102, Boise, ID 83704-4845 |
| David S Ray | Physical Therapy | 8854 W Emerald St, Suite 280, Boise, ID 83704-4830 | |
| Kathryn A Colson | Physician Assistant | The Shoulder Clinic of Idaho Pllc | 8854 W Emerald St, Suite 102, Boise, ID 83704-4845 |
| Michael R Nieraeth | Physician Assistant | The Shoulder Clinic of Idaho Pllc | 8854 W Emerald St, Suite 102, Boise, ID 83704-4845 |
| Steven W Williams | General Surgery | 8854 W Emerald St, Suite 140, Boise, ID 83704-4845 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tobin E Hill | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Adrian J Curnow | Pediatric Medicine | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Julia K Bouchard | Obstetrics/gynecology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Steven J Fonken | Interventional Cardiology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, Boise, ID 83704-0107 |
| Ellis J Salloum | Vascular Surgery | Saint Alphonsus Regional Medical Center Inc | 6140 W Curtisian Ave, Boise, ID 83704-0109 |
| Samantha J Benfield | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 102 Samg Cardiothoracic Services Boise, Boise, ID 83704-0109 |
| Calvin T Jewell | General Surgery | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 100 Samg General Surgery Suite 100, Boise, ID 83704-0109 |
| Noah Blue Edvalson | Chiropractic | 3224 N Maple Grove Rd, Boise, ID 83704-4214 | |
| Christopher A Waters | Clinical Psychologist | Living Hope Clinic Inc | 3308 N Cole Rd A, Boise, ID 83704-4407 |
| Charles M Rice | Psychologist, Clinical | 3308 N Cole Rd, Suite A, Boise, ID 83704-4407 | |
| Find all physicians in zip 83704 | |||
| City | BOISE |
| Zip Code | 83704 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | BOISE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Thomas E Goodwin.
| 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.