Thomas E Goodin (NPI# 1669770723, PAC ID# 5991980104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1669770723 |
PAC ID by PECOS | 5991980104 |
Professional Enrollment ID | I20110504000346 |
Full Name | Thomas E Goodin |
Organization Legal Name | STATESVILLE HMA MEDICAL GROUP LLC |
Address |
1414 Fern Creek Dr Suite A Statesville NC 28625-9376 |
Phone Number | 7048387080 |
Gender | M |
Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
Graduation Year | 2007 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4082756085 |
Number of Group Practice Members | 21 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
340144 | DAVIS REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1414 Fern Creek Dr, Suite A, Statesville, NC 28625-9376 | 7048387080 | STATESVILLE HMA MEDICAL GROUP LLC |
Organization Legal Name | STATESVILLE HMA MEDICAL GROUP LLC |
Physicians | 19 |
Name | Specialty | Organization | Address |
---|---|---|---|
Santhosh Reddy Devarapally | Cardiovascular Disease (cardiology) | Statesville Hma Medical Group LLC | 1424 Fern Creek Dr, D, Statesville, NC 28625-9376 |
Henry Walters | Internal Medicine | Statesville Hma Medical Group LLC | 340 Signal Hill Dr, Suite A, Statesville, NC 28625-4483 |
Jamal M Kalala | Internal Medicine | Statesville Hma Medical Group LLC | 1410 Fern Creek Dr, Statesville, NC 28625-9376 |
Dale Rader | Orthopedic Surgery | Statesville Hma Medical Group LLC | 218 Old Mocksville Rd, Statesville, NC 28625-1930 |
Shawn M Okeefe | Physician Assistant | Statesville Hma Medical Group LLC | 218 Old Mocksville Rd, Statesville, NC 28625-1930 |
David V Keller Ii | Physician Assistant | Statesville Hma Medical Group LLC | 1410 Fern Creek Dr, Statesville, NC 28625-9376 |
Andrew Venters Owens | Psychiatry | Statesville Hma Medical Group LLC | 218 Old Mocksville Rd, Statesville, NC 28625-1930 |
Stephen Mcneil Coarsey | Obstetrics/gynecology | Statesville Hma Medical Group LLC | 154 S Main St, Troutman, NC 28166-0200 |
Robert D Swedlund | Physician Assistant | Statesville Hma Medical Group LLC | 1410 Fern Creek Dr, Statesville, NC 28625-9376 |
John J Allan | Cardiovascular Disease (cardiology) | Statesville Hma Medical Group LLC | 146 Medical Park Rd, Suite 202, Mooresville, NC 28117-8529 |
Street Address |
1414 FERN CREEK DR SUITE A |
City | STATESVILLE |
State | NC |
Zip | 28625-9376 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael Salter | Family Medicine | Statesville Hma Medical Group LLC | 1414 Fern Creek Dr, Suite B, Statesville, NC 28625-9376 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary Hansen | Nurse Practitioner | Piedmont Healthcare Pa | 138 Sherlock Dr, Statesville, NC 28625-1916 |
Raj K Joshi | Internal Medicine | Piedmont Healthcare Pa | 129 Sherlock Dr, Statesville, NC 28625-1916 |
Stephen B Scheibner | Dermatology | Piedmont Healthcare Pa | 152 Sherlock Dr, Statesville, NC 28625-1916 |
Cynthia L Mitchell | Physician Assistant | Piedmont Healthcare Pa | 129 Sherlock Dr, Statesville, NC 28625-1916 |
Mahendra Narendran | Internal Medicine | Piedmont Healthcare Pa | 138 Sherlock Dr, Statesville, NC 28625-1916 |
Mary Ann Mchenry | Nurse Practitioner | Piedmont Healthcare Pa | 138 Sherlock Dr, Statesville, NC 28625-1916 |
Melody L Moore | Nurse Practitioner | Piedmont Healthcare Pa | 138 Sherlock Dr, Statesville, NC 28625-1916 |
Roger Amal Roshan Hatharasinghe | Internal Medicine | Piedmont Healthcare Pa | 138 Sherlock Dr, Statesville, NC 28625-1916 |
Dana Felts | Physician Assistant | Piedmont Healthcare Pa | 129 Sherlock Dr, Statesville, NC 28625-1916 |
Steven C Merrill | Family Medicine | Piedmont Healthcare Pa | 129 Sherlock Dr, Statesville, NC 28625-1916 |
Find all physicians in zip 28625 |
City | STATESVILLE |
Zip Code | 28625 |
Specialty | NURSE PRACTITIONER |
City + Specialty | STATESVILLE + 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.