Individual provider Active NPI

Howard O Goodwin, CRNA

  • Certified Registered Nurse Anesthetist
  • Norfolk, VA
National Provider Identifier
1639318843
Registry record updated Apr 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024168170 Issued in VA
Practice address
100 Kingsley LN
Norfolk, VA 23505-4604
Phone
(757) 745-7200
NPI assigned
Feb 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024168170 VA Primary

Addresses

Primary practice location

100 Kingsley LN
Norfolk, VA 23505-4604

Mailing address

15309 Creek Point LN
Carrollton, VA 23314-2027
Phone (757) 676-4530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090421000309 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234286725 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goodwin and Snyder Anesthesia Associates PLLCGroup PAC ID 3577833466, 4 clinicians

Practice addresses (Care Compare)

5215 Monticello Ave
Williamsburg, VA 23188-8232
Phone (757) 229-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024168170VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Anesthesia, Inc CurrentSince Mar 13, 2009 Accepting new patients
Goodwin & Snyder Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2017 Accepting new patients
Bayview Physician Services, PC CurrentSince Mar 8, 2015 Accepting new patients
Bayview Physician Services, PC CurrentSince Mar 8, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 19, 2023 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

400 10th St E
Waconia, MN 55387

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

1835 Graves Mill Rd
#1
Forest, VA 24551
Phone (336) 420-7472

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

11803 Jefferson Ave
Ste 230
Newport News, VA 23606
Phone (757) 534-7701

12720 McManus Blvd
Ste 103
Newport News, VA 23602
Phone (757) 369-7000

241 Corporate Blvd
Norfolk, VA 23502
Phone (757) 362-3577

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

2924 Emerywood Pkwy
Ste 103
Richmond, VA 23294
Phone (804) 330-9303

2750 Godwin Blvd
Suffolk, VA 23434
Phone (757) 983-2000

465 N Great Neck Rd
Virginia Beach, VA 23454
Phone (757) 481-5555

134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044

5215 Monticello Ave
Williamsburg, VA 23188
Phone (757) 229-4000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429315200000",
    "number": "1639318843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15309 CREEK POINT LN",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233142027",
            "telephone_number": "757-676-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGSLEY LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054604",
            "telephone_number": "757-745-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "HOWARD",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2015-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024168170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.