Anthony Duane Goodwin, RT, MS

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

0073 Issued in IN

Practice address

4905 Bellemeade Ave
Evansville, IN 47715-4129

Phone

(812) 469-3740

Fax

(812) 469-3770

NPI assigned

Jul 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912924507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 BELLEMEADE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154129",
            "telephone_number": "812-469-3740",
            "fax_number": "812-469-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 BELLEMEADE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154129",
            "telephone_number": "812-469-3740",
            "fax_number": "812-469-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ANTHONY",
        "middle_name": "DUANE",
        "credential": "RT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "IN",
            "license": "0073",
            "primary": true
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "KY",
            "license": "1012106657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Samaritan Hospital (North River Health Campus)
• Good Samaritan Hospital (West River Health Campus)
• Good Samaritan Hospital (The Terrace at Solarbron)
• Carol Ann Goodman, MD
• Kalyn Goodwin-Shelton, LSW
• Ladonna F Goodwin, LPN
• Hemapriya Gopal Reddy, M.D.
• Gregory Peter Gordon, LCSW
• Theodore K Gore, LCSW
• Paul P Gorman, A.T.,C. ; P.T.A.

• Radiography Radiologic Technologist in Evansville, IN
• Providers in Evansville, IN by specialty
• Radiography Radiologic Technologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.