Stanley Gooding (NPI# 1679019400, PAC ID# 7911282678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1679019400 |
| PAC ID by PECOS | 7911282678 |
| Professional Enrollment ID | I20170405002420 |
| Full Name | Stanley Gooding |
| Organization Legal Name | FAIRVIEW HEIGHTS MEDICAL GROUP SC |
| Address |
5520 Godfrey Rd B Godfrey IL 62035-2508 |
| Phone Number | 6184672981 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6800784083 |
| Number of Group Practice Members | 199 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5520 Godfrey Rd, B, Godfrey, IL 62035-2508 | 6184672981 | FAIRVIEW HEIGHTS MEDICAL GROUP SC |
| Organization Legal Name | FAIRVIEW HEIGHTS MEDICAL GROUP SC |
| Physicians | 197 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Lynn Riney | Nurse Practitioner | Fairview Heights Medical Group Sc | 2 Memorial Dr, Suite 220, Alton, IL 62002-6723 |
| Juletta Avagyan | Hospitalist | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Christine A Testa | Nurse Practitioner | Fairview Heights Medical Group Sc | 6810 State Route 162 102, Maryville, IL 62062-8560 |
| Supraja Reddy Reddy | Endocrinology | Fairview Heights Medical Group Sc | 11155 Dunn Rd 109, St Louis, MO 63136-6150 |
| Kristen N Massey | Nurse Practitioner | Fairview Heights Medical Group Sc | 155 E Bethalto Dr, Bethalto, IL 62010-1801 |
| Ann M Davis | Nurse Practitioner | Fairview Heights Medical Group Sc | 1225 Graham Rd, Suite 2310, Florissant, MO 63031-8023 |
| Guy W Aton | Internal Medicine | Fairview Heights Medical Group Sc | 3550 College Ave, B, Alton, IL 62002-5008 |
| Mattison Perez | Physician Assistant | Fairview Heights Medical Group Sc | 155 E Bethalto Dr, Bethalto, IL 62010-1801 |
| Lance L Lane | Physician Assistant | Fairview Heights Medical Group Sc | 155 E Bethalto Dr, Bethalto, IL 62010-1801 |
| David A Harmon | Family Medicine | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
| Street Address |
5520 GODFREY RD B |
| City | GODFREY |
| State | IL |
| Zip | 62035-2508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey Nicole Naylor | Nurse Practitioner | Fairview Heights Medical Group Sc | 5520 Godfrey Rd, B, Godfrey, IL 62035-2508 |
| Kristine Groppel | Nurse Practitioner | Fairview Heights Medical Group Sc | 5520 Godfrey Rd, B, Godfrey, IL 62035-2508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Coldore Joseph Hopper Iv | Qualified Audiologist | 1344 Dadrian Professional Park, Godfrey, IL 62035-1685 | |
| Jon Anthony Wagnon | Osteopathic Manipulative Medicine | 1368 Dadrian Professional Park, Godfrey, IL 62035-1685 | |
| Andrew J Woulfe | Chiropractic | 1316 Dadrian Professional Park, Godfrey, IL 62035-1685 | |
| Sadiq Mohyuddin | Internal Medicine | 1309 Dadrian Professional Park, Godfrey, IL 62035-1686 | |
| Brianna M Fritsch | Clinical Social Worker | Calm Waters Counseling and Resource Center Inc | 5090 Humbert Rd, Godfrey, IL 62035-1951 |
| Lori Behrens | Clinical Social Worker | Calm Waters Counseling and Resource Center Inc | 5090 Humbert Rd, Godfrey, IL 62035-1951 |
| Kristi A Lemley | Clinical Social Worker | Calm Waters Counseling and Resource Center Inc | 5090 Humbert Rd, Godfrey, IL 62035-1951 |
| Patricia Gregory | Clinical Social Worker | Calm Waters Counseling and Resource Center Inc | 5090 Humbert Rd, Godfrey, IL 62035-1951 |
| Debbie L Kelly | Nurse Practitioner | Clinical Research Associates PC | 6301 Humbert Rd, Godfrey, IL 62035-2163 |
| Melissa G Kulp | Nurse Practitioner | Osf Multi-specialty Group | 6702 Godfrey Rd, Godfrey, IL 62035-2205 |
| Find all physicians in zip 62035 | |||
| City | GODFREY |
| Zip Code | 62035 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GODFREY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stanley Gooding.
| 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.