DR. SCOTT THOMAS GOODRICH (NPI# 1083748966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083748966 |
Entity Type | Individual |
Full Name | DR. SCOTT THOMAS GOODRICH |
Credential | M.D. |
Practice Address |
11050 Parkview Circle Dr Fort Wayne IN 46845 |
Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
Practice Telephone | 8337248326 |
Practice Fax Number | 2602668941 |
Mailing Telephone | 2602666013 |
Enumeration Date | 2007-03-15 |
Last Update Date | 2018-07-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD60256427 | WA | Allopathic & Osteopathic Physicians |
Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
01078092A | IN | Allopathic & Osteopathic Physicians |
N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
MC60256427 | WA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033642814 | Scott Goodrich | Pharmacist | 401 Bicentennial Way, Mob2, Suite 315, Santa Rosa, CA 95403-2149 | 2017-04-07 |
1558615856 | Scott Goodrich | Case Manager/Care Coordinator | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2012-11-08 |
1760483853 | Scott Gordon Goodrich | Family Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314-5604 | 2005-08-10 |
Street Address |
11050 PARKVIEW CIRCLE DR |
City | FORT WAYNE |
State | IN |
Zip Code | 46845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740289701 | Linda K Han | Surgery | 11050 Parkview Circle Dr, Fort Wayne, IN 46845 | 2005-07-20 |
1457965972 | Christa Michelle Houser | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-09-02 |
1457973331 | Molly Brennan | Dietitian, Registered | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-05-13 |
1568084978 | Lauren Harden | Dietitian, Registered | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-05-08 |
1053942458 | Catherine Meyer | Nurse Practitioner | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-02-04 |
1760037394 | David Rosenbeck | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-08-09 |
1497309371 | Emily Grindley | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-07-29 |
1992358063 | Brittany L Hartman | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-07-18 |
1326609173 | Kristin N Oehler | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-06-24 |
1285195339 | Ethan K Bennett | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
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Taxonomy Code | 207VX0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecologic Oncology |
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437146081 | John P. Geisler | Obstetrics & Gynecology | 2510 E Dupont Rd Ste 236, Fort Wayne, IN 46825-1603 | 2005-09-29 |
1295141380 | Gynecologic Oncology of Northeast Indiana, LLC | Obstetrics & Gynecology | 1818 Carew St, Suite 250, Fort Wayne, IN 46805-4788 | 2014-07-09 |
1326213794 | Robert Martin Ore | Obstetrics & Gynecology | 11050 Parkview Circle Dr, Fort Wayne, IN 46845 | 2008-04-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215198080 | Emma Caroline Rossi | Obstetrics & Gynecology | 1030 W. Michigan St., Indianapolis, IN 46202 | 2008-06-24 |
1639343619 | Nabila Rasool | Obstetrics & Gynecology | 8111 S Emerson Ave # 204, Indianapolis, IN 46237 | 2008-04-21 |
1386634236 | Paul C Liu | Obstetrics & Gynecology | 100 Navarre Pl Ste 4470, South Bend, IN 46601-1168 | 2005-10-24 |
1154317675 | James Robert Dunlop | Obstetrics & Gynecology | 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237-8633 | 2005-09-20 |
1437153913 | Michael W Method | Obstetrics & Gynecology | 7979 N Shadeland Ave, Ste 310, Indianapolis, IN 46250-2042 | 2005-06-13 |
1821482431 | Beacon Medical Group, Inc. | Obstetrics & Gynecology | 100 Navarre Pl Ste 4470, South Bend, IN 46601-1168 | 2015-03-20 |
1053677591 | Sarah Dilley | Obstetrics & Gynecology | 7979 N Shadeland Ave Ste 310, Indianapolis, IN 46250 | 2012-04-10 |
1215203559 | Megan Elyse Buechel | Obstetrics & Gynecology | 8402 Harcourt Rd Ste 420, Indianapolis, IN 46260-2053 | 2012-03-30 |
1124303466 | Michiana Hematology-oncology P C | Obstetrics & Gynecology | 1205 S Main St, Suite 301, Crown Point, IN 46307-3676 | 2011-10-19 |
1487939732 | Michiana Hematology-oncology P C | Obstetrics & Gynecology | 615 N Michigan St, South Bend, IN 46601-1033 | 2011-10-19 |
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City | FORT WAYNE |
Zip Code | 46845 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.