Penny Lynn Goodwin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD026396 Issued in LA

Practice address

237 Sam Houston Jones Pkwy
Lake Charles, LA 70611-5603

Phone

(337) 855-3438

Fax

(337) 855-9488

NPI assigned

May 19, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Minor Medical Clinic LLC

  • Health Service Clinic/Center
  • Lake Charles, LA
  • NPI 1720008675
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1821255852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 SAM HOUSTON JONES PKWY",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115603",
            "telephone_number": "337-855-3438",
            "fax_number": "337-855-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 SAM HOUSTON JONES PKWY",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115603",
            "telephone_number": "337-855-3438",
            "fax_number": "337-855-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "PENNY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD026396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Lee Goodly
• Marsha L Goodly
• Brett Jared Goodwin, M.D.
• Darby Goodwin
• Hanna Esthay Goodwin
• Henry J Goolsby III, M.D.
• Gordon Drug Store Inc
• Kathryn Patricia Gorham, APRN
• Gracious Words Counseling, LLC
• Jennifer Taylor Graham, ANP

• Family Medicine Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.