KATHERINE ANNE GOODRICH (NPI# 1861758187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861758187 |
Entity Type | Individual |
Full Name | KATHERINE ANNE GOODRICH |
Credential | PA-C |
Practice Address |
595 Martha Jefferson Dr Ste 180 Charlottesville VA 22911-4669 |
Mailing Address |
Po Box 79777 Baltimore MD 21279-0777 |
Practice Telephone | 4346545575 |
Practice Fax Number | 4346545574 |
Mailing Telephone | 4346547794 |
Mailing Fax Number | 4346547752 |
Enumeration Date | 2012-04-11 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110-004652 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3263 Proffit Rd Ste 202, Charlottesville, VA 229115639 | 4346545575 | 4346545574 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396245437 | Katherine R Goodrich | Speech-Language Pathologist | 3803 Computer Dr Ste 200, Raleigh, NC 27609-6525 | 2018-02-15 |
1336101955 | Katherine Goodrich | Internal Medicine | 2150 Pennsylvania Ave Nw, Dept. of Medicine, Washington, DC 20037-3201 | 2006-04-06 |
Street Address |
595 MARTHA JEFFERSON DR STE 180 |
City | CHARLOTTESVILLE |
State | VA |
Zip Code | 22911-4669 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285613034 | Stephen Burke Gunther | Orthopaedic Surgery | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2006-01-11 |
1740828185 | John J Walker II | Specialist/Technologist | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2019-12-17 |
1306209473 | Jon Bledsoe Barlow IIi | Physician Assistant | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2016-04-05 |
1720313570 | Matthew J Panzarella | Orthopaedic Surgery | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2009-10-13 |
1700014198 | Crystal Meera Dickson | Orthopaedic Surgery | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2009-06-24 |
1548411515 | Clark Case Baumbusch | Orthopaedic Surgery | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2008-10-08 |
1649473240 | Megan Ann Swanson | Orthopaedic Surgery | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2007-06-09 |
1043431935 | Stephen Hoover | Orthopaedic Surgery | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2007-05-01 |
1881621829 | Lisa A. Braden | Physician Assistant | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2006-06-26 |
1679553523 | John Z Edwards | Orthopaedic Surgery | 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911-4669 | 2006-01-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
Find all providers in zip 22911 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861881682 | Nicholas F. Calabrese | Physician Assistant | 545 Ray C. Hunt Dr., Charlottesville, VA 22903-7851 | 2015-01-16 |
1366585952 | Alyssa Benning | Physician Assistant | 1 Hospital Dr Fl 3, Charlottesville, VA 22908-0001 | 2007-02-14 |
1851370589 | Gina L. Mitchell | Physician Assistant | 500 Martha Jefferson Dr Fl 5, Charlottesville, VA 22911 | 2006-01-11 |
1417316431 | Tara L. Deacon | Physician Assistant | 1215 Lee St, 2nd Floor, Charlottesville, VA 22908-0001 | 2016-02-18 |
1104283365 | Kaylyn A. Jackson | Physician Assistant | 1221 Lee St, 2nd Floor, Charlottesville, VA 22908-0001 | 2016-01-19 |
1073916045 | Kristin L Lilly | Physician Assistant | 1215 Lee St Fl 2, Charlottesville, VA 22908-0816 | 2014-10-03 |
1023410248 | Bryan V. Anderson | Physician Assistant | 1215 Lee St, Charlottesville, VA 22908-0001 | 2014-09-18 |
1790100964 | John R. Curry | Physician Assistant | Hospital Dr, 4th Floor, Charlottesville, VA 22908-0001 | 2014-02-25 |
1962827139 | Danielle A. Moses | Physician Assistant | Lee St Fl 2, Charlottesville, VA 22908-0001 | 2014-02-25 |
1538584057 | Eileen C. Dearth | Physician Assistant | 1215 Lee St Fl 2, Charlottesville, VA 22908-0001 | 2014-02-20 |
Find all providers in CHARLOTTESVILLE |
City | CHARLOTTESVILLE |
Zip Code | 22911 |
Please comment or provide details below to improve the information on KATHERINE ANNE GOODRICH.
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.