Individual provider Active NPI

Alyssa Goodwin, MD

  • Pediatrics Physician
  • Topsham, ME
National Provider Identifier
1902886872
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD16550 Issued in ME
Practice address
9 Bowdoin Mill Is
Topsham, ME 04086-1263
Phone
(207) 467-5038
NPI assigned
Jan 18, 2006
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD16550 ME Primary

Addresses

Primary practice location

9 Bowdoin Mill Is
Topsham, ME 04086-1263

Mailing address

9 Bowdoin Mill Is
Topsham, ME 04086-1263
Phone (207) 467-5038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804000875 ME Practitioner - Pediatric Medicine 6901877737 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Martin's Point Health Care, Inc. Pediatrics CurrentSince Jan 1, 2012 Accepting new patients
Alyssa Goodwin MD PLLC Pediatrics Current Accepting new patients

Locations

68 Graham St
Biddeford, ME 04005
Phone (207) 283-1441

114 Bath Rd
Brunswick, ME 04011
Phone (207) 798-4400

74 Baribeau Dr
Brunswick, ME 04011
Phone (207) 798-4050

174 S Freeport Rd
Freeport, ME 04032
Phone (207) 865-1819

510 Main St
Gorham, ME 04038
Phone (207) 216-2118

331 Veranda St
Portland, ME 04103
Phone (207) 774-5801

9 Bowdoin Mill Is
Topsham, ME 04086
Phone (207) 406-4462

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1902886872",
    "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": "207-467-5038"
        },
        {
            "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": "207-467-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ALYSSA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD16550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topsham, ME

Sources for this page

Verify at the official NPI Registry.