NPIMap

Organization Active NPI

Dr Goodwin & Associates, LLC

  • Health Service Clinic/Center
  • Columbia, MD
National Provider Identifier
1902164692
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
DR GOODWIN & ASSOCIATES, LLC
Practice address
9650 Santiago Rd Ste 109
Columbia, MD 21045-3958
Phone
(410) 997-5333
Fax
(410) 992-9819
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Cheryl L McKenzie
Title
Administrator
Phone
(410) 997-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

9650 Santiago Rd Ste 109
Columbia, MD 21045-3958

Mailing address

9650 Santiago Rd Ste 109
Columbia, MD 21045-3958
Phone (410) 997-5333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1902164692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 SANTIAGO RD STE 109",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453958",
            "telephone_number": "410-997-5333",
            "fax_number": "410-992-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 SANTIAGO RD STE 109",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453958",
            "telephone_number": "410-997-5333",
            "fax_number": "410-992-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GOODWIN & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-997-5333"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.