Robert Allan Goodwin, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Alvaton, KY
NPI 1457513020 · NPPES record last updated Jun 25, 2008
Key facts
- NPI
- 1457513020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 15745 (KY)
- Practice address
- 1417 Drakes Ridge LN
Alvaton, KY 42122-7805 - Phone
- (270) 846-4478
- NPI assigned
- Jun 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 15745 | KY | Yes |
Addresses
Primary practice location
1417 Drakes Ridge LN
Alvaton, KY 42122-7805
Mailing address
1417 Drakes Ridge LN
Alvaton, KY 42122-7805
Phone (270) 846-4478
Other providers in Alvaton, KY
- Brianah L Doeden
- Kathleen Baum Donley
- Rebecca Edwards
- Ann Embry
- Brian Gatlin
- Lindsey Ann Green
- Tonya L Gregory
- Karen Hammond
- Cassandra L Hanna
- Melissa Beth Haselhoff
All providers in Alvaton, KY · Orthopaedic Surgery Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.