DUSTY J GOODMAN (NPI# 1366867640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366867640 |
| Entity Type | Individual |
| Full Name | DUSTY J GOODMAN |
| Practice Address |
2401 Ravine Way Ste 200 Glenview IL 60025-7645 |
| Mailing Address |
900 Rand Rd Ste 300 Des Plaines IL 60016-2359 |
| Practice Telephone | 8479985680 |
| Practice Fax Number | 8479986365 |
| Mailing Telephone | 8473243976 |
| Mailing Fax Number | 8479291154 |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548541907 | Dusty L Goodman | Counselor | 400 Airport Rd, Terrell, TX 75160-4302 | 2011-08-30 |
| Street Address |
2401 RAVINE WAY STE 200 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60025-7645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386715415 | Margaret Ellen Portenlanger | Specialist/Technologist | 2401 Ravine Way Ste 200, Glenview, IL 60025-7645 | 2006-11-12 |
| 1720647571 | Stephanie Elizabeth Murthey | Physician Assistant | 2401 Ravine Way Ste 200, Glenview, IL 60025-7645 | 2019-06-06 |
| 1174035794 | Joseph Gomez | Specialist/Technologist | 2401 Ravine Way Ste 200, Glenview, IL 60025-7645 | 2017-11-05 |
| 1487106811 | Alexandria M Winchester | Physician Assistant | 2401 Ravine Way Ste 200, Glenview, IL 60025-7645 | 2016-11-02 |
| 1053714071 | Antigone Sophia Vesci | Physical Therapist | 2401 Ravine Way Ste 200, Glenview, IL 60025-7645 | 2014-10-04 |
| 1386987410 | Kellie Gates | Anesthesiology | 2401 Ravine Way Ste 200, Glenview, IL 60025-7645 | 2013-03-27 |
| 1396001541 | Anthony K. Savino | Psychiatry & Neurology | 2401 Ravine Way Ste 200, Glenview, IL 60025-7645 | 2012-04-02 |
| 1164654810 | Brooke Vanderby | Anesthesiology | 2401 Ravine Way Ste 200, Glenview, IL 60025-7645 | 2009-08-13 |
| 1821206442 | Mehul Garala | Physical Medicine & Rehabilitation | 2401 Ravine Way Ste 200, Glenview, IL 60025 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
| 1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
| 1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
| 1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
| 1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
| 1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
| 1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
| 1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
| Find all providers in zip 60025 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528579901 | Julia Elizabeth Sames | Physician Assistant | 2701 Patriot Blvd Ste 110, Glenview, IL 60026 | 2017-10-12 |
| 1386014629 | Carmela Sanchez | Physician Assistant | 195 Waukegan Rd, #371, Glenview, IL 60025 | 2015-09-29 |
| 1720036767 | Isidora J Kafkas | Physician Assistant | 2100 Pfingsten Rd, Attention To Acc Nni, Glenview, IL 60026-1301 | 2006-05-04 |
| 1023654498 | Claudia Rodriguez | Physician Assistant | 2501 Compass Rd Ste 105, Glenview, IL 60026-8000 | 2019-11-20 |
| 1467013375 | Alexandra Kazmer | Physician Assistant | 2050 Pfingsten Rd Ste 128, Glenview, IL 60026-1324 | 2019-06-23 |
| 1720647571 | Stephanie Elizabeth Murthey | Physician Assistant | 2401 Ravine Way Ste 200, Glenview, IL 60025-7645 | 2019-06-06 |
| 1659936763 | Heather Bartusek | Physician Assistant | 2100 Pfingsten Rd Ste 3001a, Glenview, IL 60026-1301 | 2019-05-03 |
| 1033696562 | Katie Marie Reidy | Physician Assistant | 2701 Patriot Blvd, Glenview, IL 60026 | 2018-07-27 |
| 1801395249 | Angelica Marconi Zweig | Physician Assistant | 2180 Pfingsten Rd, Glenview, IL 60026-1339 | 2018-02-11 |
| 1750815924 | Ann Renee Manikas | Physician Assistant | 2701 Patriot Blvd, Glenview, IL 60026-8039 | 2017-04-14 |
| Find all providers in GLENVIEW | ||||
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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.