Miranda Anne Goodale in Brazil - Primary Podiatric Medicine
Miranda Anne Goodale - NPI 1003858762
Miranda Anne Goodale is a Primary Podiatric Medicine in Brazil, Indiana. Miranda Anne Goodale practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Miranda Anne Goodale is 1003858762. The last update date is 2019-05-31.
Miranda Anne Goodale's current location address is 955 W Craig Ave, Brazil, Indiana. You can contact this provider via phone number 8124489290 and fax number 8124489296. The mailing address for Miranda Anne Goodale is 955 W Craig Ave, Brazil, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Miranda Anne Goodale |
|---|---|
| Address | 955 W Craig Ave, Brazil, Indiana |
| Phone Number | 8124489290 |
| Fax Number | 8124489296 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1003858762 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2019-05-31 |
Provider Mailing Address Detail
| Address | 955 W Craig Ave |
|---|---|
| City | Brazil |
| State | Indiana (IN) |
| Post Code | 478347400 |
| Phone Number | 8124489290 |
| Fax Number | 8124489296 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | 07001015A |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200825350A | IN | -- | |
| 385202 | CIGNA | ||
| 5692086 | FIRSTHEALTH | ||
| 392910 | IN | BLUE CROSS BLUE SHIELD | |
| 732240001 | DMERC WITH PPG | ||
| 37278 | IN | IHN PPO NETWORK |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Miranda Anne Goodale by the Centers for Medicare & Medicaid Services?
The Miranda Anne Goodale has been issued the NPI (National Provider Identifier) 1003858762, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Miranda Anne Goodale's physical address?
The Miranda Anne Goodale is physically located at 955 W Craig Ave, in the city of Brazil, IN, with the postal code 478347400.
What is the Miranda Anne Goodale's area of specialization and corresponding taxonomy classification?
The Miranda Anne Goodale's specialty field is Primary Podiatric Medicine, and it falls under the taxonomy code 213Ep1101X, which categorizes healthcare providers based on their specialties.
On what date did the Miranda Anne Goodale receive its 1003858762 assignment from the Centers for Medicare & Medicaid Services?
The Miranda Anne Goodale was assigned its 1003858762 by the Centers for Medicare & Medicaid Services on 2006-06-10.
As of what date were the Miranda Anne Goodale's details last updated?
The information pertaining to the Miranda Anne Goodale, including its address, specialty, and other details, was most recently updated on 2019-05-31.