C Dale Goodin (NPI# 1902899065, PAC ID# 2860441201) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1902899065 |
| PAC ID by PECOS | 2860441201 |
| Professional Enrollment ID | I20050112001117 |
| Full Name | C Dale Goodin |
| Organization Legal Name | CENTRAL KENTUCKY MEDICAL GROUP, PSC |
| Address |
115 Crossfield Dr Suite A Versailles KY 40383-1845 |
| Phone Number | 8592789413 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6002807344 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181308 | BLUEGRASS COMMUNITY HOSPITAL |
| 180103 | BAPTIST HEALTH LEXINGTON |
| 180010 | SAINT JOSEPH HOSPITAL |
| 180067 | UNIVERSITY OF KENTUCKY HOSPITAL |
| 180127 | FRANKFORT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2108 Nicholasville Rd, Suite 100, Lexington, KY 40503-2502 | 8592789413 | CENTRAL KENTUCKY MEDICAL GROUP, PSC |
| 115 Crossfield Dr, Suite A, Versailles, KY 40383-1845 | 8592789413 | CENTRAL KENTUCKY MEDICAL GROUP, PSC |
| Organization Legal Name | CENTRAL KENTUCKY MEDICAL GROUP, PSC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill C Wozniak | Nurse Practitioner | Central Kentucky Medical Group, Psc | 115 Crossfield Dr, Suite A, Versailles, KY 40383-1845 |
| William E Childers | Internal Medicine | Central Kentucky Medical Group, Psc | 115 Crossfield Dr, Suite A, Versailles, KY 40383-1845 |
| Robert Randolph Morley | Nurse Practitioner | Central Kentucky Medical Group, Psc | 2108 Nicholasville Rd, Lexington, KY 40503-2502 |
| Neil R Farris | Internal Medicine | Central Kentucky Medical Group, Psc | 2108 Nicholasville Rd, Suite 100, Lexington, KY 40503-2502 |
| Street Address |
115 CROSSFIELD DR SUITE A |
| City | VERSAILLES |
| State | KY |
| Zip | 40383-1845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill C Wozniak | Nurse Practitioner | Central Kentucky Medical Group, Psc | 115 Crossfield Dr, Suite A, Versailles, KY 40383-1845 |
| Michael S Spalding | Physical Therapy | Woodford Physical Therapy Psc | 115 Crossfield Dr, Suite C, Versailles, KY 40383-1845 |
| Kimberly W Spalding | Physical Therapy | Woodford Physical Therapy Psc | 115 Crossfield Dr, Suite C, Versailles, KY 40383-1845 |
| William E Childers | Internal Medicine | Central Kentucky Medical Group, Psc | 115 Crossfield Dr, Suite A, Versailles, KY 40383-1845 |
| Nora B Corle | Physical Therapy | Woodford Physical Therapy Psc | 115 Crossfield Dr, Suite C, Versailles, KY 40383-1845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen D Webb | Family Medicine | 220 Frankfort St, Suite 2, Versailles, KY 40383-1079 | |
| Brandon Lucas Wood | Chiropractic | 220 Frankfort St, Suite 4, Versailles, KY 40383-1079 | |
| Richard Drayer | Optometry | Kentucky Institute for Eye Health and Surgery | 149 Frankfort St, Versailles, KY 40383-1121 |
| Robert A Forry | Chiropractic | 238 N Main St, Versailles, KY 40383-1251 | |
| Matthew S Dawson | Emergency Medicine | Southeastern Emergency Physicians LLC | 360 Amsden Ave, Versailles, KY 40383-1286 |
| Desiree F Albritton | Nurse Practitioner | Hospital Medicine Services of Tennessee PC | 360 Amsden Ave, Versailles, KY 40383-1286 |
| Joyce Ann Teague | Nurse Practitioner | Hospital Medicine Services of Tennessee PC | 360 Amsden Ave, Versailles, KY 40383-1286 |
| Louis L Seng | Internal Medicine | Hospital Medicine Services of Tennessee PC | 360 Amsden Ave, Versailles, KY 40383-1286 |
| Laura B Furnish | Nurse Practitioner | Hospital Medicine Services of Tennessee PC | 360 Amsden Ave, Versailles, KY 40383-1286 |
| Bharat K Patel | Family Medicine | Southeastern Emergency Physicians LLC | 360 Amsden Ave, Versailles, KY 40383-1286 |
| Find all physicians in zip 40383 | |||
| City | VERSAILLES |
| Zip Code | 40383 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | VERSAILLES + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on C Dale Goodin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.