NJ Goodwin DO PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS11292 Issued in FL

Legal business name

NJ GOODWIN DO PA

Practice address

12260 Tamiami TRL E Ste 102
Naples, FL 34113-7937

Phone

(239) 692-9096

NPI assigned

Jun 3, 2018

Last updated

Jun 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy J Goodwin, DONPI 1861679227

Title

Owner

Phone

(239) 692-9096

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy J. Goodwin, D.O.

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1861679227
  Authorized official Same address or phone

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

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527984000000",
    "number": "1811489180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12260 TAMIAMI TRL E STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137937",
            "telephone_number": "813-690-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12260 TAMIAMI TRL E STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137937",
            "telephone_number": "239-692-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ GOODWIN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-03",
        "last_updated": "2018-06-03",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-692-9096",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11292",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "OS11292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Naples, FL
• Providers in Naples, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; 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.