PETER DAVID GOODWIN


Address: 580 S Loop Rd, Edgewood, KY 41017
Phone: 8593016000

PETER DAVID GOODWIN (NPI# 1609877547) 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) 1609877547
Entity Type Individual
Full Name PETER DAVID GOODWIN
Credential MD
Practice Address 580 S Loop Rd
Edgewood
KY 41017
Mailing Address Po Box 635283
Cincinnati
OH 45263-5283
Practice Telephone 8593016000
Practice Fax Number 8593016010
Mailing Telephone 8593016099
Mailing Fax Number 8593016010
Enumeration Date 2005-08-02
Last Update Date 2018-09-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 16868 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0255745 05
IN 200916660 05
KY 64055916 05

Other Providers PETER GOODWIN

NPI Name Taxonomy Address Enumeration
1285057919 Peter Goodwin Adult Companion 1069 Stone Trl, New Braunfels, TX 78130-2435 2014-01-31
1013240308 Peter H Goodwin Counselor 1114 Plaza Del Norte, Suite B, Espanola, NM 87532-3216 2009-09-17
1649488594 Peter Goodwin Ophthalmology 1126 Grove Rd, Greenville, SC 29605-4620 2007-05-21

Office Location

Street Address 580 S LOOP RD
City EDGEWOOD
State KY
Zip Code 41017

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003344375 Erin Rolfes Optometrist 580 S Loop Rd, Edgewood, KY 41017-3415 2017-05-31
1164757951 Edward H Caldwell Surgery 580 S Loop Rd, Suite 201, Edgewood, KY 41017-3415 2009-10-12
1497838684 George E Miller Specialist 580 S Loop Rd, Suite 201, Edgewood, KY 41017-3415 2006-10-23
1003836412 Emily R Shull Optometrist 580 S Loop Rd, Suite 200, Edgewood, KY 41017-3405 2006-07-20
1114952660 Robert L Strawn Ophthalmology 580 S Loop Rd, Suite 200, Edgewood, KY 41017-3405 2006-07-12
1720021199 Edward J Holland Ophthalmology 580 S Loop Rd, Suite 200, Edgewood, KY 41017-3415 2006-06-14
1033108592 Cei Physicians P.s.c., LLC Ophthalmology 580 S Loop Rd, Suite 200, Edgewood, KY 41017 2005-10-18
1194711150 Barry L Dick Specialist 580 S Loop Rd, Suite 201, Edgewood, KY 41017-3415 2005-09-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578187209 St. Elizabeth Medical Center, Inc. Pharmacy 1 Medical Village Dr., Edgewood, KY 41017 2020-05-28
1366084337 St. Elizabeth Medical Center, Inc. Pharmacy 850 Thomas More Parkway, Edgewood, KY 41017 2019-10-11
1396396750 Family First Vision Care Kentucky Optometrist 614 Buttermilk Pike, Fort Mitchell, KY 41017 2019-09-26
1083184543 Katie Franconia Smith Nurse Practitioner 2865 Chancellor Dr., Crestview Hills, KY 41017 2018-11-27
1871077511 Janet Reeves Martin Nurse Practitioner Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 2018-09-19
1144713983 Kelly Wiechart Dentist 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 2018-06-06
1225535966 Proscan Radiology Northern Kentucky, LLC Radiology 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 2018-04-10
1396241626 Tressa S. Leahy Physical Therapist 200 Medical Village Drive, Edgewood, KY 41017 2018-04-04
1699294470 Raymond Gardinier Physical Therapist 3755 Old Ky 17, Fort Wright, KY 41017 2017-09-13
1992229785 Adrienne Bussard Physician Assistant 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 2017-08-02
Find all providers in zip 41017

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417958349 Holly G Danneman Emergency Medicine 413 S Loop Rd, Edgewood, KY 41017-3499 2005-08-02
1669477279 Gregory Dean Sweeney Emergency Medicine 1 Medical Village Dr, Edgewood, KY 41017-3403 2005-06-20
1477084937 Anne Ellise Flower Emergency Medicine 1 Medical Village Dr, Edgewood, KY 41017-3403 2017-03-24
1306292115 Michael Ross Lawson Emergency Medicine 1 Medical Village Dr, Edgewood, KY 41017-3403 2016-05-11
1104288190 David Aaron Habib Emergency Medicine 1 Medical Village Dr, Edgewood, KY 41017-3403 2016-03-28
1275916603 Rachel Helpling Emergency Medicine 1 Medical Village Dr, Edgewood, KY 41017-3403 2015-07-02
1457731879 Katelyn Adkins Banks Emergency Medicine 1 Medical Village Dr, Edgewood, KY 41017 2015-06-01
1386022390 Balaji Nithianandam Emergency Medicine 1 Medical Village Dr, Edgewood, KY 41017 2015-05-11
1619385937 Ian Scott Boyd Emergency Medicine 1 Medical Village Dr, Edgewood, KY 41017-3403 2014-07-30
1861809774 Mitchell Andrew Strohmaier Emergency Medicine 1 Medical Village Dr, Edgewood, KY 41017-3403 2014-07-14
Find all providers in EDGEWOOD

Competitor

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City EDGEWOOD
Zip Code 41017

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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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