Austin Grant Goodman (NPI# 1154737021, PAC ID# 2961629209) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154737021 |
| PAC ID by PECOS | 2961629209 |
| Professional Enrollment ID | I20140811002157 |
| Full Name | Austin Grant Goodman |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Address |
8402 Harcourt Rd Indianapolis IN 46260-2056 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012047640 |
| Number of Group Practice Members | 699 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160001 | UNITYPOINT HEALTH-MARSHALLTOWN |
| 150084 | ST. VINCENT HOSPITALS AND HEALTH SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 3174158500 | ST VINCENT MEDICAL GROUP INC |
| 8402 Harcourt Rd, Indianapolis, IN 46260-2056 | ST VINCENT MEDICAL GROUP INC |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Physicians | 702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J. Lyon | Cardiovascular Disease (cardiology) | St Vincent Medical Group Inc | 10590 N Meridian St, Indianapolis, IN 46290-1028 |
| Mohamad H Yousef | Gastroenterology | St Vincent Medical Group Inc | 2010 W 86th St, Suite 111, Indianapolis, IN 46260-1930 |
| Stephanie Ann Mason | Nurse Practitioner | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Emily Kelly Koffel | Nurse Practitioner | St Vincent Medical Group Inc | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Bobbie Nakole Jellison | Family Medicine | St Vincent Medical Group Inc | 8424 Naab Road Bulding, 1 1e, Indianapolis, IN 46260-1954 |
| Jessica Dawn Augenstine | Nurse Practitioner | St Vincent Medical Group Inc | 5629 Lee Rd, Indianapolis, IN 46216-2003 |
| Hannah Rebekah Thornton | Nurse Practitioner | St Vincent Medical Group Inc | 14828 Greyhound Ct, Suite 100, Carmel, IN 46032-5016 |
| John Gary Quiles | Gastroenterology | St Vincent Medical Group Inc | 1515 N Madison Ave, Anderson, IN 46011-3453 |
| Yvette Monique Caviness-kelley | Nurse Practitioner | St Vincent Medical Group Inc | 2155 E Main St, Plainfield, IN 46168-1816 |
| Erin Michelle Watson | Nurse Practitioner | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Street Address |
8402 HARCOURT RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46260-2056 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Ann Mason | Nurse Practitioner | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Sheila Faye Hockman | Obstetrics/gynecology | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Alexander Peedikayil Mathew | General Surgery | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Racquel Kukita Reyes | Internal Medicine | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Lisa Diane Owens | Nurse Practitioner | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Kayla Lynn Parr | Nurse Practitioner | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Shelley Lynn Clark | Nurse Practitioner | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Elizabeth Louise Helms | Nurse Practitioner | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Jennifer Lynn Stanley | Family Medicine | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Latchaiah Chirumamilla | Internal Medicine | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Jo Johnson | Chiropractic | 1305 W 96th St C, Indianapolis, IN 46260-1139 | |
| Becky J Sayre | Clinical Social Worker | 1311 W 96th St, Suite 105, Indianapolis, IN 46260-1173 | |
| Lisa A Miller | Family Medicine | 1329 W 96th St, Suite 1, Indianapolis, IN 46260-1190 | |
| Daniel G Williams | Osteopathic Manipulative Medicine | Excell for Life Family Care and Pediatrics Inc | 1329 W 96th St, Indianapolis, IN 46260-1190 |
| Wendy J Rich | Anesthesiology | Ophthalmic Anesthesia Associates, LLC | 9202 N Meridian St, Indianapolis, IN 46260-1800 |
| Amy S Delumpa | Anesthesiology | Ophthalmic Anesthesia Associates, LLC | 9202 N Meridian St, Indianapolis, IN 46260-1800 |
| Mary Louise Sanders | Clinical Psychologist | 9102 N Meridian St, Indianapolis, IN 46260-1809 | |
| Sarah A Huseman | Optometry | Eye Surgeons of Indiana, PC | 9202 N Meridian St, Suite 100, Indianapolis, IN 46260-1810 |
| Paul F Cacchillo | Ophthalmology | Eye Surgeons of Indiana, PC | 9202 N Meridian St, Suite 100, Indianapolis, IN 46260-1810 |
| Moazzam W Habib | Endocrinology | Moazzam Habib Md PC | 9240 N Meridian St, Suite 120, Indianapolis, IN 46260-1811 |
| Find all physicians in zip 46260 | |||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | INDIANAPOLIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Austin Grant Goodman.
| 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.