Dr. Goodwin,L.L.C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0023081 Issued in MD

Legal business name

DR. GOODWIN,L.L.C

Practice address

9650 Santiago Rd
108
Columbia, MD 21045-3957

Phone

(410) 997-5333

Fax

(410) 992-9831

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Paige J Goodwin

Title

Treasurer

Phone

(410) 997-5333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1154513620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 SANTIAGO RD",
            "address_2": "108",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453957",
            "telephone_number": "410-997-5333",
            "fax_number": "410-992-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 SANTIAGO RD",
            "address_2": "108",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453957",
            "telephone_number": "410-997-5333",
            "fax_number": "410-992-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GOODWIN,L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "410-997-5333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0023081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Columbia, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.