DR. ROBERT CLARE GOODWIN (NPI# 1215051164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215051164 |
| Entity Type | Individual |
| Full Name | DR. ROBERT CLARE GOODWIN |
| Credential | M.D. |
| Practice Address |
1726 Ellington Rd South Windsor CT 06074-2739 |
| Practice Telephone | 8606449191 |
| Practice Fax Number | 8606449191 |
| Mailing Telephone | 8606449191 |
| Mailing Fax Number | 8606449191 |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2013-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 16361 | CT | Other Service Providers |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
016361 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | NON-PAR ANTHEM ID | 010016361CT01 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457513020 | Robert Allan Goodwin | Orthopaedic Surgery | 1417 Drakes Ridge Ln, Alvaton, KY 42122-7805 | 2008-06-25 |
| 1528190477 | Robert Duane Goodwin | Dentist | 3004 Coggin Ave, Brownwood, TX 76801-6005 | 2007-03-09 |
| 1861523789 | Robert Allen Goodwin | Psychiatry & Neurology | 1838 El Camino Real Ste 220, Burlingame, CA 94010-3110 | 2007-03-09 |
| 1861581894 | Robert L Goodwin | Chiropractor | 1444 Cliff Gookin Blvd, Tupelo, MS 38801-6477 | 2006-10-11 |
| 1417982208 | Robert Scott Goodwin | Family Medicine | 251 Bayview Blvd, Room 05a727, Baltimore, MD 21224-6823 | 2006-07-11 |
| 1235620279 | Robert Goodwin | Case Manager/Care Coordinator | 112 S 3rd St, Newark, OH 43055-5335 | 2018-05-25 |
| 1861624884 | Robert David Goodwin | Optometrist | 1048 104th St, Suite 100, Naperville, IL 60564-5118 | 2009-08-10 |
| 1730340076 | Robert Brock Goodwin | Surgery | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2008-06-19 |
| 1851416119 | Robert J Goodwin | Social Worker | 951 Blanco Cir Ste B, Salinas, CA 93901-4451 | 2007-03-19 |
| 1730276502 | Robert Clark Goodwin | Dentist | 6834 East Genesee Street, Fayetteville, NY 13066 | 2006-10-05 |
| Street Address |
1726 ELLINGTON RD |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366623951 | Robert C. Goodwin Md LLC | Clinic/Center | 1726 Ellington Rd, South Windsor, CT 06074-2739 | 2007-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184164477 | William P Guinan and Associates LLC | Specialist | 25 Oakland Rd Ste 1, South Windsor, CT 06074-2897 | 2017-03-06 |
| 1679789226 | Kathleen Fallon Pasakarnis | Specialist | 98 Woodland Dr, South Windsor, CT 06074-2336 | 2007-05-14 |
| 1801876826 | Paul Allen Schwiger | Specialist | 2800 Tamarack Ave Ste 104, South Windsor, CT 06074-5553 | 2006-01-17 |
| 1386802684 | Mark Tousignant | Specialist | 2800 Tamarack Ave, Suite 100, South Windsor, CT 06074-5539 | 2008-05-23 |
| 1295874105 | Central Connecticut Gastroenterology LLC | Specialist | 2400 Tamarack Rd, Suite 101, South Windsor, CT 06074-5555 | 2007-02-06 |
| 1598822603 | Sportsmedicine Partners, Orthopedics & Rehabilitation Therapy, P.C. | Specialist | 2800 Tamarack Ave, Suite 100, South Windsor, CT 06074 | 2007-01-02 |
| 1497864516 | Eastern Connecticut Medical Professionals Foundation, Inc | Specialist | 2800 Tamarack Avenue, Suite 104, South Windsor, CT 06074 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261212 | Diana Louise Botticelli | Specialist | 5 Jackson Pl, Darien, CT 06820-2725 | 2020-06-26 |
| 1205465382 | Center for Vascular Medicine Ct, Pllc | Specialist | 136 Berlin Rd Ste 202, Cromwell, CT 06416-2622 | 2020-04-02 |
| 1679103931 | Gail Joan Dalby | Specialist | 1360 Whitney Ave, Hamden, CT 06517-2400 | 2020-01-24 |
| 1982248902 | Tracy Cook | Specialist | 1533 New Britain Ave Ste 2, Farmington, CT 06032-3378 | 2019-11-02 |
| 1477106482 | Elevate Pt- Stamford Pllc | Specialist | 1234 Summer St Ste 102, Stamford, CT 06905-5558 | 2019-07-18 |
| 1598238321 | Amanda Andrade | Specialist | 40 Whippoorwill Rd, Bethel, CT 06801-2723 | 2019-01-03 |
| 1366921827 | Matt Dutton | Specialist | 1 Highpoint Ct, Woodbury, CT 06798-3228 | 2018-08-07 |
| 1013422591 | Connecticut Orthopaedic Specialists, PC | Specialist | 2499 Main St Ste 6, Stratford, CT 06615-5843 | 2017-12-06 |
| 1114430782 | Elevate Professional Services, LLC | Specialist | 19 Old Kings Hwy S Ste 120, Darien, CT 06820-4532 | 2017-11-06 |
| 1417476052 | Lauri Weil | Specialist | 104 Old Washington Rd, Ridgefield, CT 06877-5918 | 2017-09-14 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
Please comment or provide details below to improve the information on DR. ROBERT CLARE GOODWIN.
| 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.