Stefanie A Goodrich, PA
Physician Assistant in Worcester, Massachusetts
1689665135- Practice location
- 100 Martin Luther King Jr Blvd, Worcester, MA 01680-1209
- Phone
- 508-754-3823
- Fax
- 508-753-0151
- Last updated
- February 13, 2021
Stefanie A Goodrich is a Physician Assistant based in Worcester, MA. Stefanie A Goodrich practices in Worcester, MA and has the professional credentials of PA. The NPI Number for Stefanie A Goodrich is 1689665135 and holds a License No. 1875 (MA). The current practice location address for Stefanie A Goodrich is 100 Martin Luther King Jr Blvd, Worcester, MA 01680-1209 and can be reached out via phone at 508-754-3823 and via fax at 508-753-0151.
Provider Profile Details
- NPI Number
- 1689665135
- Provider Name
- Stefanie A Goodrich
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Martin Luther King Jr Blvd, Worcester, MA 01680-1209
- Phone Number
- 508-754-3823
- Fax Number
- 508-753-0151
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 3, 2005
- Last Update Date
- February 13, 2021
- Certification Date
- January 29, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Martin Luther King Jr Blvd
Worcester, MA 01680-1209 - City
- Worcester
- State
- Massachusetts
- Zip
- 01680-1209
- Phone Number
- 508-754-3823
- Fax Number
- 508-753-0151
Provider Business Mailing Address Details
- Address
- 100 Martin Luther King Jr Blvd
Worcester, MA 01680-1209 - City
- Worcester
- State
- MA
- Zip
- 01680-1209
- Phone Number
- 508-754-3823
- Fax Number
- 508-753-0151
License Information
- License Number (1)
- 1875
- License State (1)
- MA
- Taxonomy (1)
- Specialist · 174400000X
- License Number (2)
- PA1875
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Stefanie A Goodrich, PA?
The NPI number of Stefanie A Goodrich, PA is 1689665135. It was assigned on November 3, 2005 and is currently active in the NPPES registry.
What is the specialty of Stefanie A Goodrich, PA?
Stefanie A Goodrich, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 1875.
Where does Stefanie A Goodrich, PA practice?
The practice location is 100 Martin Luther King Jr Blvd, Worcester, MA 01680-1209. The office can be reached at 508-754-3823 (phone) or 508-753-0151 (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 1689665135 directly on the NPPES registry website.