Amanda M Goodwin in Saginaw - Physician Assistant
Amanda M Goodwin - NPI 1396754404
Amanda M Goodwin is a Physician Assistant in Saginaw, Michigan. Amanda M Goodwin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Amanda M Goodwin is 1396754404. The last update date is 2021-03-26.
Amanda M Goodwin's current location address is 5483 Gratiot Road, Saginaw, Michigan. You can contact this provider via phone number 9897995557 and fax number 9897992840. The mailing address for Amanda M Goodwin is 5483 Gratiot Road, Saginaw, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda M Goodwin |
|---|---|
| Address | 5483 Gratiot Road, Saginaw, Michigan |
| Phone Number | 9897995557 |
| Fax Number | 9897992840 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1396754404 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2021-03-26 |
Provider Mailing Address Detail
| Address | 5483 Gratiot Road |
|---|---|
| City | Saginaw |
| State | Michigan (MI) |
| Post Code | 486386037 |
| Phone Number | 9897995557 |
| Fax Number | 9897992840 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | AG004842 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200G311050 | BCBS GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Amanda M Goodwin by the Centers for Medicare & Medicaid Services (CMS)?
The Amanda M Goodwin has been assigned the NPI (National Provider Identifier) 1396754404. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Amanda M Goodwin is physically located?
The Amanda M Goodwin is situated at the following address: 5483 Gratiot Road, Saginaw, MI 486386037.
What is Amanda M Goodwin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Amanda M Goodwin is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did the Amanda M Goodwin receive its 1396754404?
The Amanda M Goodwin was issued its 1396754404 on 2006-08-07, which is the date when the organization was assigned this unique identifier.
When was the Amanda M Goodwin's information last updated?
The Amanda M Goodwin's information was last updated on 2021-03-26.