Alyssa Goodwin MD PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ALYSSA GOODWIN MD PLLC

Practice address

9 Bowdoin Mill Is
Topsham, ME 04086-1263

Phone

(207) 406-4462

Fax

(207) 518-8961

NPI assigned

Feb 26, 2024

Organization subpart

No

Name

Mr. Christopher Holmes, CCMA (NHA)

Title

Clinical Manager

Phone

(207) 406-4462

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa Goodwin, MD

  • Pediatrics Physician
  • Topsham, ME
  • NPI 1902886872

  Pediatrics

  NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

• Stellar Pediatrics Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2024.

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1821854944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BOWDOIN MILL IS",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861263",
            "telephone_number": "207-406-4462",
            "fax_number": "207-518-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BOWDOIN MILL IS",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861263",
            "telephone_number": "207-406-4462",
            "fax_number": "207-518-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALYSSA GOODWIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "207-406-4462",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCMA (NHA)"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stellar Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Topsham, ME
• Pediatrics Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.