Randy Jerome Goodwin, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1-031210 Issued in AL

Practice address

809 University Blvd E
Tuscaloosa, AL 35401-2029

Phone

(205) 759-7352

Fax

(205) 759-6397

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Blue Lake Health Springhill, LLC

  • Anesthesiology Physician
  • Mobile, AL
  • NPI 1194496216
  Medicare reassignment NPD
• DCH Medical Center Crna

  • Certified Registered Nurse Anesthetist
  • Tuscaloosa, AL
  • NPI 1356642045

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Southern Perioperative Services P C

  • Anesthesiology Physician
  • Hoover, AL
  • NPI 1740233394
  Medicare reassignment NPD
• Tuscaloosa Anesthesia Associates LLC

  • Anesthesiology Physician
  • Tuscaloosa, AL
  • NPI 1346934429
  Medicare reassignment NPD
• Anesthesiologists Associated PC

  • Anesthesiology Physician
  • Birmingham, AL
  • NPI 1851371850
  Medicare reassignment
• DCH Provider Services, LLC

  • Psychiatry Physician
  • Northport, AL
  • NPI 1831480797
  NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1659313864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012029",
            "telephone_number": "205-759-7352",
            "fax_number": "205-759-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012029",
            "telephone_number": "205-759-7352",
            "fax_number": "205-759-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "RANDY",
        "middle_name": "JEROME",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-031210",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-031210",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF NURSE ANESTHETISTS (CERTIFICATION)",
            "identifier": "034174",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Romeo Miraflor Gomez, M.D.
• Luis Gerardo Gonzalez Anguiar, MD
• Brittany Michelle Gooch
• Eric Thomas Goodcase, PHD, MFT
• Charlotte J Goodwin, RPH
• Matthew Gorby, ATC
• Brittany Marie Gordon, CRNP
• Toi Lynn Gordon
• Memorie M Gosa, CCC-SLP, BRS-S
• Barry J Gould, DPM

• Certified Registered Nurse Anesthetist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.