Organization Active NPI

Glenda Goodwin MD Inc

  • Obstetrics & Gynecology Physician
  • Elk Grove, CA
National Provider Identifier
1497074363
Registry record updated Mar 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
GLENDA GOODWIN MD INC
Practice address
9281 Office Park Cir
Suite 120
Elk Grove, CA 95758-8068
Phone
(916) 691-4300
Fax
(916) 691-4302
NPI assigned
May 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2012

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

Authorized official

Name
Dr. Glenda Goodwin, MD
Title
Owner
Phone
(916) 691-4301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X CA Primary

Addresses

Primary practice location

9281 Office Park Cir
Suite 120
Elk Grove, CA 95758-8068

Mailing address

9281 Office Park Cir
Suite 120
Elk Grove, CA 95758-8068
Phone (916) 691-4300

Other names 1

  • Trinity Women's Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glenda Goodwin MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9281 Office Park Cir
Ste 120
Elk Grove, CA 95758
Phone (916) 691-4300

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332028800000",
    "number": "1497074363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9281 OFFICE PARK CIR",
            "address_2": "SUITE 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588068",
            "telephone_number": "916-691-4300",
            "fax_number": "916-691-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9281 OFFICE PARK CIR",
            "address_2": "SUITE 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588068",
            "telephone_number": "916-691-4300",
            "fax_number": "916-691-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDA GOODWIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2012-03-18",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-691-4301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Women's Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2012; 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.