Gregory T Goodwin (NPI# 1427197920, PAC ID# 9032292370) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1427197920 |
| PAC ID by PECOS | 9032292370 |
| Professional Enrollment ID | I20080211000349 |
| Full Name | Gregory T Goodwin |
| Organization Legal Name | KARUK TRIBE |
| Address |
1519 S Oregon St Yreka CA 96097-3425 |
| Phone Number | 5308429200 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4688668387 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051316 | FAIRCHILD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1519 S Oregon St, Yreka, CA 96097-3425 | 5308429200 | KARUK TRIBE |
| Organization Legal Name | KARUK TRIBE |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deidre L Mcsweeney-tyson | Pediatric Medicine | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Regina Flowers | Nurse Practitioner | Karuk Tribe | 64236 2nd Ave, Happy Camp, CA 96039 |
| Sawar Chalutch Young-tripp | Family Practice | Karuk Tribe | 325 Asip, Orleans, CA 95556 |
| Claudia R Mondragon | Osteopathic Manipulative Medicine | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Benton C Kinney | Physician Assistant | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Tony E Vasquez | Nuclear Medicine | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Amy M Coapman | Nurse Practitioner | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Markie D Maldonado | Physician Assistant | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Patricia L Hobbs | Clinical Social Worker | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Joseph E Snapp | Clinical Social Worker | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Street Address |
1519 S OREGON ST |
| City | YREKA |
| State | CA |
| Zip | 96097-3425 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deidre L Mcsweeney-tyson | Pediatric Medicine | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Claudia R Mondragon | Osteopathic Manipulative Medicine | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Benton C Kinney | Physician Assistant | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Tony E Vasquez | Nuclear Medicine | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Amy M Coapman | Nurse Practitioner | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Markie D Maldonado | Physician Assistant | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Patricia L Hobbs | Clinical Social Worker | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Joseph E Snapp | Clinical Social Worker | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Jennifer M Cronin | Physician Assistant | Karuk Tribe | 1519 S Oregon St, Yreka, CA 96097-3425 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle L Kerr | Clinical Social Worker | 304 Yama St, Yreka, CA 96097-2418 | |
| Evelyn Mann-wilder | Clinical Social Worker | 304 Yama St, Yreka, CA 96097-2418 | |
| Steven L Nelson | General Surgery | 814 N Main St, Yreka, CA 96097-2538 | |
| Donald Eugene Solus | General Practice | 534 N Main St, Yreka, CA 96097-2541 | |
| Bruce N Riger | Internal Medicine | 202 Lawrence Ln, Yreka, CA 96097-3341 | |
| Rachel R Dunn-black | Family Medicine | 202 Lawrence Ln, Yreka, CA 96097-3341 | |
| Michelle A Riger | Nurse Practitioner | 202 Lawrence Ln, Yreka, CA 96097-3341 | |
| Joal B Miles | Physical Therapy | 180 Rose Ln, Suite 1, Yreka, CA 96097-3371 | |
| Phillip J White | Physical Therapy | 180 Rose Ln, Yreka, CA 96097-3371 | |
| Richard E Swenson | Family Medicine | Swenson Medical Group Prof Corp | 1501 S Oregon St, Yreka, CA 96097-3425 |
| Find all physicians in zip 96097 | |||
| City | YREKA |
| Zip Code | 96097 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | YREKA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Gregory T Goodwin.
| 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.