Thomas Goodwin

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA061566 Issued in PA

Practice address

404 Woodland Dr
Elizabethtown, NC 28337-8842

Phone

(910) 862-2662

NPI assigned

May 3, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upmc AltoonaGroup PAC ID 8426962465, 126 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Altoona Hospital, Altoona, PA, CCN 390073

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tgoodwin103212@upmc.direct-ci.com
• Direct secure messaging: upmchospitals@upmcdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upmc Altoona

  dba Altoona Emergency Physicians

  • General Acute Care Hospital
  • Altoona, PA
  • NPI 1497831655
  Medicare reassignment Care Compare group NPD
• Upmc Altoona

  • Ambulatory Surgical Clinic/Center
  • Altoona, PA
  • NPI 1114926953
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Altoona

  • Ambulatory Surgical Clinic/Center
  • Altoona, PA
  • NPI 1114926953

  Hospital

  Care Compare affiliation
• Upmc Altoona

  dba Women's Health and Wellness

  • Non-Surgical Family Planning Clinic/Center
  • Altoona, PA
  • NPI 1457303885

  Hospital

  Care Compare affiliation
• Upmc Altoona

  • General Acute Care Hospital
  • Altoona, PA
  • NPI 1649278730
  Care Compare affiliation
• Upmc Altoona

  • Psychiatric Hospital Unit
  • Altoona, PA
  • NPI 1699773465
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1083279236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1054",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283371054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283378842",
            "telephone_number": "910-862-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-03",
        "last_updated": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sidrah Ghaffar, DO
• Mollie B Glenn, O.D.
• Luke Austin Gooden
• Stephanie Gooden, PA-C
• Julia Hall Goodwin, RPH
• Goshen Medical Center, Incorporated (Goshen Medical Center - Elizabethtown)
• Tara L Govan, LCAS 1917
• Ashley Ann Graham Jones, FNP-C
• Pearly Berlette Graham-Hoskins, MD
• Briana Gayle Graham, PA-C

• Physician Assistant in Elizabethtown, NC
• Providers in Elizabethtown, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.