Active NPIIndividual provider

Mr. Greg Goodwin, PA-C

Physician Assistant, Surgical in Fall River, Massachusetts

NPI Number1013167634
Practice location
1565 N Main St, Fall River, MA 02720-2972
Fax
508-973-9885
Last updated
June 6, 2024

Greg Goodwin is a Physician Assistant, Surgical based in Fall River, MA. Greg Goodwin practices in Fall River, MA and has the professional credentials of PA-C. The NPI Number for Greg Goodwin is 1013167634 and holds a License No. PA4517 (MA). The current practice location address for Greg Goodwin is 1565 N Main St, Fall River, MA 02720-2972 and can be reached out via phone at 508-973-2211 and via fax at 508-973-9885.

Provider Profile Details

NPI Number
1013167634
Provider Name
Greg Goodwin
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1565 N Main St, Fall River, MA 02720-2972
Phone Number
508-973-2211
Fax Number
508-973-9885
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
September 19, 2008
Last Update Date
June 6, 2024
Certification Date
June 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1565 N Main St
Fall River, MA 02720-2972
Zip
02720-2972
Phone Number
508-973-2211
Fax Number
508-973-9885
Fall River, MA 02720Get directions →

Provider Business Mailing Address Details

Address
200 Mill RD Ste 180
Fairhaven, MA 02719-5255
City
Fairhaven
State
MA
Zip
02719-5255
Phone Number
508-973-2000
Fax Number
508-973-2001

License Information

License Number (1)
PA4517
License State (1)
MA
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X · Primary
License Number (2)
PA01073
License State (2)
RI
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Greg Goodwin, PA-C?

The NPI number of Mr. Greg Goodwin, PA-C is 1013167634. It was assigned on September 19, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Greg Goodwin, PA-C?

Mr. Greg Goodwin, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number PA4517.

Where does Mr. Greg Goodwin, PA-C practice?

The practice location is 1565 N Main St, Fall River, MA 02720-2972. The office can be reached at 508-973-2211 (phone) or 508-973-9885 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013167634 directly on the NPPES registry website.

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