Individual provider Active NPI

Nancy G Goodwin, M.D.

  • Internal Medicine Physician
  • Brunswick, ME
National Provider Identifier
1326100512
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
015724 Issued in ME
Practice address
329 Maine St
Suite D
Brunswick, ME 04011-3310
Phone
(207) 725-2429
Fax
(207) 721-9345
NPI assigned
Dec 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 015724 ME Primary

Addresses

Primary practice location

329 Maine St
Suite D
Brunswick, ME 04011-3310

Mailing address

329 Maine St
Suite D
Brunswick, ME 04011-3310
Phone (207) 725-2429

Other identifiers 1

IdentifierTypeStateIssuer
264730099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602000133 ME Practitioner - Internal Medicine 2860435773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
015724MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Specialists of Maine, PA Past Accepting new patients
Pathology Medical Group, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ngoodwin@direct.pma.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326100512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MAINE ST",
            "address_2": "SUITE D",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113310",
            "telephone_number": "207-725-2429",
            "fax_number": "207-721-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MAINE ST",
            "address_2": "SUITE D",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113310",
            "telephone_number": "207-725-2429",
            "fax_number": "207-721-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "NANCY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "015724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264730099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.