Active NPI
Steven K. Goodwin, M.D.
- Neurological Surgery Physician
- Corvallis, OR
National Provider Identifier
1477599058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD18124
- Practice address
- 3615 NW Samaritan Dr
Suite 211
Corvallis, OR 97330-3783 - Phone
- (541) 768-4501
- Fax
- (541) 768-4813
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD18124 | OR | Primary |
Addresses
Primary practice location
3615 NW Samaritan Dr
Suite 211
Corvallis, OR 97330-3783
Mailing address
3615 NW Samaritan Dr
Suite 211
Corvallis, OR 97330-3783
Phone (541) 768-4501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD18124 | OR | MD | Neurological Surgery Physician |
| 18124 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Corvallis | Past | Accepting new patients | |
| Neurosurgery & Spine Care Specialists, PLLC | Past | Accepting new patients | |
| Firstcare Medical Foundation | Neurological Surgery | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Samaritan Medical Clinics
- Family Medicine Physician
- Albany, OR
- NPI 1740216498
Neurological Surgery
-
dba Samaritan Orthopedics-Luis Vela, DO
- Durable Medical Equipment & Medical Supplies
- Corvallis, OR
- NPI 1477851186
-
- Specialist
- Lewiston, ID
- NPI 1861615346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1477599058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 NW SAMARITAN DR",
"address_2": "SUITE 211",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303783",
"telephone_number": "541-768-4501",
"fax_number": "541-768-4813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 NW SAMARITAN DR",
"address_2": "SUITE 211",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303783",
"telephone_number": "541-768-4501",
"fax_number": "541-768-4813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "STEVEN",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OR",
"license": "MD18124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.