Lisa N Goodwill, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA054786 Issued in PA

Practice address

145 Pleasant Dr
Warren, PA 16365-3371

Phone

(814) 723-8023

NPI assigned

Feb 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisaphilhower@wagho.allscriptsdirect.net
• Direct secure messaging: lisagoodwill@directaddress.net

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.

• Warren General Hospital

  • Family Medicine Physician
  • Warren, PA
  • NPI 1508803701
  Medicare reassignment NPD
• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654
  Medicare reassignment
• Warren General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Warren, PA
  • NPI 1407199227
  NPD
• Warren Medical Group Inc

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1982610788
  NPD (past)

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1679879969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-723-4973",
            "fax_number": "814-723-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PLEASANT DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163653371",
            "telephone_number": "814-723-8023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 W Saint Clair St Rm 2D",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "PA",
            "postal_code": "163652188",
            "country_code": "US",
            "telephone_number": "814-723-2686",
            "fax_number": "814-726-9417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 W Crescent Park",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "PA",
            "postal_code": "163652111",
            "country_code": "US",
            "telephone_number": "814-723-4973",
            "fax_number": "814-723-6095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWILL",
        "first_name": "LISA",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisaphilhower@wagho.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "103 W Saint Clair St Rm 2D",
            "city": "Warren",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163652188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ggnsc Warren II LP
• Ggnsc Warren Kinzua Valley LP
• Richard Giannini
• Julie Ann Goff, MS/CCC-SLP
• Kristi Ann Goldthwaite, LCSW
• Jill M Gorton, CRNP
• Dan Henry Gottwald, MD
• Elizabeth F Grabel, DPT, MED, GCS
• Maurina K Grandinetti, LAPC
• Aubrey Lynn Grant, LMSW

• Physician Assistant in Warren, PA
• Providers in Warren, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.