DR GOODWIN & ASSOCIATES, LLC (NPI# 1902164692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902164692 |
| Entity Type | Organization |
| Organization Name | DR GOODWIN & ASSOCIATES, LLC |
| Practice Address |
9650 Santiago Rd Ste 109 Columbia MD 21045-3958 |
| Practice Telephone | 4109975333 |
| Practice Fax Number | 4109929819 |
| Mailing Telephone | 4109975333 |
| Mailing Fax Number | 4109929819 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Authorized Official Name | CHERYL L MCKENZIE (ADMINISTRATOR) |
| Authorized Official Telephone | 4109975333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
9650 SANTIAGO RD STE 109 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-3958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1659805927 | Alexandra Johnson | Clinic/Center | 544 Mansfield Ln, Columbia, SC 29203-9098 | 2017-04-13 |
| 1144674532 | Pediatric Hair Solutions Corporation | Clinic/Center | 217 Pickens St, Columbia, SC 29205-2911 | 2016-04-21 |
| 1679731384 | Patrick Tong Md LLC | Clinic/Center | 7120 Minstrel Way Ste 110, Columbia, MD 21045-5274 | 2008-05-29 |
| 1841817426 | Haviland Eye Care Pllc | Clinic/Center | 1301 Trotwood Ave, Columbia, TN 38401-4702 | 2020-06-30 |
| 1548882483 | Two Medicine Clinical Services, LLC | Clinic/Center | 1814 Paris Rd, Columbia, MO 65201-5538 | 2020-05-14 |
| 1417416363 | Integrative Chiropractic & Rehabilitation | Clinic/Center | 7050 Oakland Mills Rd, Columbia, MD 21046-2193 | 2019-03-19 |
| 1588036800 | Devoted Care and Transition Services-hospice, LLC | Clinic/Center | 1107 Belleview St, Columbia, SC 29201-1810 | 2015-10-26 |
| 1487040192 | Columbia Gastroenterology Associates | Clinic/Center | 100 Palmetto Health Pkwy, Suite 102, Columbia, SC 29212-1753 | 2015-04-09 |
| Find all providers in COLUMBIA | ||||
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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.