DR. SCOTT THOMAS GOODRICH


Address: 11050 Parkview Circle Dr, Fort Wayne, IN 46845
Phone: 8337248326

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).

Provider Overview

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

Taxonomy

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

Other Providers SCOTT GOODRICH

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

Office Location

Street Address 11050 PARKVIEW CIRCLE DR
City FORT WAYNE
State IN
Zip Code 46845

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207VX0201X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecologic Oncology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City FORT WAYNE
Zip Code 46845

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Dataset Information

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.

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