Mark C Goodwin
SONOMA COUNTY INDIAN HEALTH PROJECT INC


Address: 144 Stony Point Rd, Santa Rosa, CA 95401-4122
Phone: 70752145004685

Mark C Goodwin (NPI# 1396713434, PAC ID# 4981640950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1396713434
PAC ID by PECOS 4981640950
Professional Enrollment ID I20050629000919
Full Name Mark C Goodwin
Organization Legal Name SONOMA COUNTY INDIAN HEALTH PROJECT INC
Address 144 Stony Point Rd
Santa Rosa
CA 95401-4122
Phone Number 70752145004685
Gender M
Credential MD
Medical School STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE
Graduation Year 1998
Primary Specialty GENERAL PRACTICE
Group Practice PAC ID 2961491238
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050174 SANTA ROSA MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
144 Stony Point Rd, Santa Rosa, CA 95401-4122 70752145004685 SONOMA COUNTY INDIAN HEALTH PROJECT INC

Organization Information

Organization Legal Name SONOMA COUNTY INDIAN HEALTH PROJECT INC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Matthew B Pride Obstetrics/gynecology Sonoma County Indian Health Project Inc 144 Stony Point Rd, Santa Rosa, CA 95401-4122
James W Dotson Psychiatry Sonoma County Indian Health Project Inc 144 Stony Point Rd, Santa Rosa, CA 95401-4122

Office Location

Street Address 144 STONY POINT RD
City SANTA ROSA
State CA
Zip 95401-4122

Physicians in the same location

Name Specialty Organization Address
Matthew B Pride Obstetrics/gynecology Sonoma County Indian Health Project Inc 144 Stony Point Rd, Santa Rosa, CA 95401-4122
James W Dotson Psychiatry Sonoma County Indian Health Project Inc 144 Stony Point Rd, Santa Rosa, CA 95401-4122

Physicians in the same zip code

Name Specialty Organization Address
Loi C. Medvin Psychologist, Clinical 149 Stony Cir, Suite 210, Santa Rosa, CA 95401-4105
Juline N Caraballo Fonseca Allergy/immunology Allergy and Asthma Adult and Pediatric Medical Group of The Redwoods I 130 Stony Point Rd, Suite E, Santa Rosa, CA 95401-4120
Alice Chiang Ophthalmology 1002 Mendocino Ave, Santa Rosa, CA 95401-4330
James S Carter Physician Assistant American Current Care of California, A Medical Corporation 1221 N Dutton Ave, Santa Rosa, CA 95401-4607
Jennifer Mae Prescott Nurse Practitioner American Current Care of California, A Medical Corporation 1221 N Dutton Ave, Santa Rosa, CA 95401-4607
Jerald R Gerst Preventative Medicine American Current Care of California, A Medical Corporation 1221 N Dutton Ave, Santa Rosa, CA 95401-4607
Rachel Elizabeth King Occupational Therapy Redwood Hand Therapy Inc 320 Tesconi Cir, G, Santa Rosa, CA 95401-4611
Donna B Eakin Occupational Therapy Redwood Hand Therapy Inc 320 Tesconi Cir, G, Santa Rosa, CA 95401-4611
Gretchen A Harig Chiropractic 1235 N Dutton Ave, Suite D, Santa Rosa, CA 95401-4642
Jennifer P Beck Psychiatry 1400 N Dutton Ave, Suite 6, Santa Rosa, CA 95401-4644
Find all physicians in zip 95401

Competitor

Search similar physicians

City SANTA ROSA
Zip Code 95401
Specialty GENERAL PRACTICE
City + Specialty SANTA ROSA + GENERAL PRACTICE

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Dataset Information

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.

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