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.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050174 | SANTA ROSA MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 70752145004685 | SONOMA COUNTY INDIAN HEALTH PROJECT INC |
Organization Legal Name | SONOMA COUNTY INDIAN HEALTH PROJECT INC |
Physicians | 3 |
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 |
Street Address |
144 STONY POINT RD |
City | SANTA ROSA |
State | CA |
Zip | 95401-4122 |
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 |
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 |
City | SANTA ROSA |
Zip Code | 95401 |
Specialty | GENERAL PRACTICE |
City + Specialty | SANTA ROSA + GENERAL PRACTICE |
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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.