MRS. AMANDA M GOODWIN (NPI# 1396754404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396754404 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA M GOODWIN |
| Other Name | AMANDA M PENNINGTON |
| Credential | PA-C |
| Practice Address |
5483 Gratiot Road Saginaw MI 48638-6037 |
| Practice Telephone | 9897995557 |
| Practice Fax Number | 9897992840 |
| Mailing Telephone | 9897995557 |
| Mailing Fax Number | 9897992840 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2008-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | AG004842 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 5601004842 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5601004842 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601004842 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS GROUP | 200G311050 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083048052 | Amanda J Goodwin | Chiropractor | 95 Cliftwood Dr, Suite C, Atlanta, GA 30328-4917 | 2013-08-27 |
| 1093881393 | Amanda Jackson Goodwin | Physician Assistant | 600 W Walnut St, Danville, KY 40422-1309 | 2006-11-28 |
| 1588265409 | Amanda Goodwin | Speech-Language Pathologist | 510 Main St, Clayton, DE 19938-7716 | 2020-11-06 |
| 1245715747 | Amanda Goodwin | Family Medicine | 4400 Walnut St, Greenville, TX 75401-5586 | 2018-10-01 |
| 1326526104 | Amanda E. Goodwin | Counselor | 40 Beacon St E, Laconia, NH 03246-3437 | 2018-08-02 |
| 1265815773 | Amanda Lynn Goodwin | Speech-Language Pathologist | 494 W Central Ave, Delaware, OH 43015-1470 | 2015-07-01 |
| 1659797876 | Amanda Goodwin | Dietitian, Registered | 811 Church Rd, Cherry Hill, NJ 08002-1412 | 2014-03-12 |
| 1649313982 | Amanda Houston Goodwin | Social Worker | 501 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 | 2007-02-15 |
| Street Address |
5483 GRATIOT ROAD |
| City | SAGINAW |
| State | MI |
| Zip Code | 48638-6037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235604547 | Kristina Susan Spohn | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2018-10-12 |
| 1538686803 | Jennifer A Nickels | Behavioral Analyst | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638 | 2017-08-27 |
| 1013209634 | Ryan D Michelson Dds Plc | Dentist | 65 North Frost Drive, Saginaw, MI 48638 | 2011-05-16 |
| 1477645539 | Mark Walter Pankonin | Family Medicine | 1600 Midland Rd, Saginaw, MI 48638 | 2006-09-28 |
| 1386735579 | John Edwin Galsterer | Dentist | 5605 Colony Drive North, Saginaw, MI 48638 | 2006-09-27 |
| 1699873075 | Phadej Keopunna | Urology | 70 North Frost Dr, Saginaw, MI 48638 | 2006-09-20 |
| 1790881902 | Jeffrey John Dwan | Dentist | 595 N Center Rd, Ste 5, Saginaw, MI 48638 | 2006-09-15 |
| 1396705364 | Christina Marie Barba | Physical Therapist | 4884 Gratiot Avenue, Suite 19, Saginaw, MI 48638 | 2006-03-24 |
| 1538136353 | Joseph E Oesterling | Specialist | 1740 Midland Rd, Saginaw, MI 48638 | 2006-03-01 |
| 1558916650 | Kayela Lynn Oberloier | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2019-08-06 |
| Find all providers in zip 48638 | ||||
| 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 |
|---|---|---|---|---|
| 1841773371 | Evan Daniel Mccann | Physician Assistant | 5400 Mackinaw Rd Ste 2300, Saginaw, MI 48604-8211 | 2018-09-11 |
| 1518475730 | Brandon Arthur Luedtke | Physician Assistant | 3085 Hallmark Ct Ste 1, Saginaw, MI 48603-6803 | 2018-01-22 |
| 1902350192 | Elizabeth C Troxell | Physician Assistant | 612 E Bailey Boswell Rd Ste 200, Saginaw, TX 76131-3571 | 2016-08-05 |
| 1982957288 | Saginaw Community Health Center | Physician Assistant | 320 S 4th Ave, Saginaw, MI 48607-1602 | 2012-10-24 |
| 1538268271 | Ryan Patrick Murtha | Physician Assistant | 800 Cooper Ave Ste 4, Saginaw, MI 48602-5371 | 2006-09-21 |
| 1285622050 | Christopher Brian Cummings | Physician Assistant | 1522 Janes St., Janes St. Community Health Center, Saginaw, MI 48601 | 2005-10-06 |
| 1053957548 | Jean Noel Esch | Physician Assistant | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2019-11-20 |
| 1972060598 | Mallory Litwiller | Physician Assistant | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2019-03-01 |
| 1245795343 | Colin David Wilson | Physician Assistant | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2019-02-04 |
| 1487120242 | Tracey Lynn Looby | Physician Assistant | 3085 Hallmark Ct, Saginaw, MI 48603 | 2018-10-19 |
| Find all providers in SAGINAW | ||||
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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.