MRS. GLENDA DARLENE GOODWIN (NPI# 1184685141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184685141 |
| Entity Type | Individual |
| Full Name | MRS. GLENDA DARLENE GOODWIN |
| Credential | M.D. |
| Practice Address |
1106 Windfield Way Suite 2 El Dorado Hills CA 95762-9360 |
| Practice Telephone | 9169416500 |
| Practice Fax Number | 9166914300 |
| Mailing Telephone | 9169416500 |
| Mailing Fax Number | 9166914300 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2013-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
A71660 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | A71660 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A716600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275867533 | Glenda Ruth Goodwin | Counselor | 409 N Smythe St, Bowie, TX 76230-4826 | 2009-09-18 |
| Street Address |
1106 WINDFIELD WAY SUITE 2 |
| City | EL DORADO HILLS |
| State | CA |
| Zip Code | 95762-9360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609857945 | Foothill Physical Therapy, Inc. | Clinic/Center | 1106 Windfield Way, Suite 4, El Dorado Hills, CA 95762 | 2005-11-11 |
| 1114525474 | Aubrey Firestone | Behavior Technician | 1106 Windfield Way, El Dorado Hills, CA 95762-9360 | 2020-10-09 |
| 1649885773 | Kierra Mccomb | Behavior Technician | 1106 Windfield Way, El Dorado Hills, CA 95762-9360 | 2020-09-15 |
| 1912519943 | Shawna Montgomery | Behavior Technician | 1106 Windfield Way, El Dorado Hills, CA 95762-9360 | 2020-08-20 |
| 1780208926 | Robin Zierhut | Behavior Technician | 1106 Windfield Way, El Dorado Hills, CA 95762-9360 | 2020-06-03 |
| 1710236781 | Alicia Pierce | Marriage & Family Therapist | 1106 Windfield Way, El Dorado Hills, CA 95762-9360 | 2012-09-05 |
| 1225336126 | Beyond Physical Medicine and Rehabilitation, Inc | Non-Pharmacy Dispensing Site | 1106 Windfield Way, Suite 2, El Dorado Hills, CA 95762-9360 | 2011-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611163 | Melanie Kim Dental Corporation | Dentist | 3381 Bass Lake Rd, Suite 140, El Dorado Hills, CA 95762 | 2020-02-13 |
| 1063042083 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3383 Bass Lake Rd, El Dorado Hills, CA 95762 | 2020-01-17 |
| 1427557230 | California Joint & Spine, LLC | Clinic/Center | 8135 Saratoga Way, El Dorado Hills, CA 95762 | 2018-02-07 |
| 1871008433 | Claire Maurenn Goss | Psychologist | 5406 Da Vinci Drive, El Dorado Hills, CA 95762 | 2017-12-05 |
| 1275063000 | Melinda Diane Keeler | Marriage & Family Therapist | 1150 Sunfast Lane, 2, El Dorado Hills, CA 95762 | 2017-06-14 |
| 1205379021 | Lauren Marie Shanks Rigsbee | Physical Therapist | 4990 Hillsdale Circle # 100, El Dorado Hills, CA 95762 | 2016-11-28 |
| 1962825935 | Wendy Pickren | Psychologist | 1150 Suncast Lane, Suite 2, El Dorado Hills, CA 95762 | 2014-01-28 |
| 1588087597 | Edwards Everhart Dental | Dentist | 1192 Suncast Lane, Suite 3, El Dorado Hills, CA 95762 | 2014-01-27 |
| 1447694542 | Ksenia Voronina | Psychiatry & Neurology | 1020 Suncast Lane, St 108, El Dorado Hills, CA 95762 | 2013-04-19 |
| 1205188471 | Pirasteh Guity Shafe | Pediatrics | 5001 Gresham Dr, El Dorado Hills, CA 95762 | 2012-10-11 |
| Find all providers in zip 95762 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875570 | Nader Sobh Inc | Family Medicine | 11740 San Vicente Blvd Ste 205, Los Angeles, CA 90049-6610 | 2020-06-15 |
| 1124596010 | Cam Md | Family Medicine | 1968 S Coast Hwy # 401, Laguna Beach, CA 92651-3681 | 2018-11-08 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1114313616 | Michelle Sriwongtong | Family Medicine | 834 Castro St, 3, San Francisco, CA 94114-2858 | 2015-04-10 |
| 1225433006 | Harut Madatovian | Family Medicine | 2595 E Washington Blvd Ste 106, Pasadena, CA 91107-1409 | 2014-10-23 |
| 1760801880 | Kyle William Meyer | Family Medicine | 24910 Las Brisas Rd Ste 105, Murrieta, CA 92562 | 2014-04-16 |
| 1720403553 | Dianne Longo | Family Medicine | 1319 Evergreen Ave, Apt N2, Fullerton, CA 92835-2063 | 2014-03-03 |
| 1255760633 | Steven William Marles | Family Medicine | 4265 Tapestry Way, Turlock, CA 95382-7448 | 2013-11-05 |
| 1497098909 | Joshua David Sampson | Family Medicine | 2299 Post St Ste 107, San Francisco, CA 94115-3460 | 2013-04-03 |
| 1699015529 | Andrew Saleh | Family Medicine | 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 | 2013-03-01 |
| Find all providers with the same taxonomy | ||||
| City | EL DORADO HILLS |
| Zip Code | 95762 |
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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.