Timothy James Goodridge in Round Rock - Anesthesiologist Assistant
Timothy James Goodridge - NPI 1174669451
Timothy James Goodridge is a Anesthesiologist Assistant in Round Rock, Texas. Timothy James Goodridge practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Timothy James Goodridge is 1174669451. The last update date is 2021-12-16.
Timothy James Goodridge's current location address is 302 University Blvd, Round Rock, Texas. You can contact this provider via phone number 5125090200 and fax number 5122186330. The mailing address for Timothy James Goodridge is 302 University Blvd, Round Rock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy James Goodridge |
|---|---|
| Address | 302 University Blvd, Round Rock, Texas |
| Phone Number | 5125090200 |
| Fax Number | 5122186330 |
| Sole Proprietor | N |
| Credentials | A.A. |
NPI Number Detail
| NPI Number | 1174669451 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2021-12-16 |
Provider Mailing Address Detail
| Address | 302 University Blvd |
|---|---|
| City | Round Rock |
| State | Texas (TX) |
| Post Code | 7866510320 |
| Phone Number | 5125090200 |
| Fax Number | 5122186330 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
|---|---|
| Taxonomy | 367H00000X |
| Licence No | 343 |
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Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 430055881 | TX | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Timothy James Goodridge?
The Timothy James Goodridge has been issued the NPI (National Provider Identifier) 1174669451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Timothy James Goodridge is physically located?
The Timothy James Goodridge is situated at the following address: 302 University Blvd, Round Rock, TX 7866510320.
What is Timothy James Goodridge's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Timothy James Goodridge is Anesthesiologist Assistant, and the taxonomy code that categorizes this field of expertise is 367H00000X.
When did Timothy James Goodridge receive its 1174669451 assignment?
The Timothy James Goodridge was assigned its 1174669451 on 2007-01-30, which is the date when this unique identifier was issued to the organization.
When was the information regarding Timothy James Goodridge most recently updated?
The details pertaining to the Timothy James Goodridge, including its address, specialty, and other relevant information, were last refreshed on 2021-12-16.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA