Active NPIIndividual providerSole proprietor

Ms. Diane Goodwin, PA-C

Physician Assistant, Surgical in Stamford, Connecticut

NPI Number1053467605
Practice location
30 Shelburne RD, Stamford, CT 06902-3628
Fax
—
Last updated
January 8, 2016

Diane Goodwin is a Physician Assistant, Surgical based in Stamford, CT. Diane Goodwin practices in Stamford, CT and has the professional credentials of PA-C. The NPI Number for Diane Goodwin is 1053467605 and holds a License No. 000205 (CT). The current practice location address for Diane Goodwin is 30 Shelburne RD, Stamford, CT 06902-3628 and can be reached out via phone at 203-276-1000.

Provider Profile Details

NPI Number
1053467605
Provider Name
Diane Goodwin
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
30 Shelburne RD, Stamford, CT 06902-3628
Phone Number
203-276-1000
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
Yes
Provider Enumeration Date
January 26, 2007
Last Update Date
January 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Shelburne RD
Stamford, CT 06902-3628
Zip
06902-3628
Phone Number
203-276-1000
Stamford, CT 06902Get directions →

Provider Business Mailing Address Details

Address
30 Shelburne RD
Stamford, CT 06902-3628
City
Stamford
State
CT
Zip
06902-3628
Phone Number
203-276-1000

License Information

License Number
000205
License State
CT
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

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 Ms. Diane Goodwin, PA-C?

The NPI number of Ms. Diane Goodwin, PA-C is 1053467605. It was assigned on January 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Diane Goodwin, PA-C?

Ms. Diane Goodwin, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 000205.

Where does Ms. Diane Goodwin, PA-C practice?

The practice location is 30 Shelburne RD, Stamford, CT 06902-3628. The office can be reached at 203-276-1000 (phone).

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 1053467605 directly on the NPPES registry website.

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