Malcolm Noyes Goodwin Jr., M. D.

Primary specialty

Cytopathology PhysicianTaxonomy code 207ZC0500X

License

MD 102549 Issued in MO

Practice address

206 Woodland CT
O Fallon, IL 62269-3500

Phone

(618) 632-6164

Fax

(618) 632-0186

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1437228194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 WOODLAND CT",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693500",
            "telephone_number": "618-632-6164",
            "fax_number": "618-632-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 WOODLAND CT",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693500",
            "telephone_number": "618-632-6164",
            "fax_number": "618-632-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "MALCOLM",
        "middle_name": "NOYES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "MO",
            "license": "MD 102549",
            "primary": true
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "MO",
            "license": "MD 102549",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "MD 102549",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Waleska Giron Bonilla
• Global Medical Solutionz Equipment & Transportation
• Barbara Glotfelty
• Alexandria Gomez, PHARMD
• Audrey Gonzalez, LCPC
• Kamron Kingsley Gopffarth, DO
• Bryon John Gorton, M.D.
• Raghav Govindarajan, MD
• Catherin Teiarra Graham
• Victoria Lynn Gravot

• Cytopathology Physician in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Cytopathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.