MR. MICHAEL EUGENE GOODWIN PA NPI 1558674382

NPI Information

  • NPI: 1558674382
  • Provider Name: MR. MICHAEL EUGENE GOODWIN, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4939 W RAY RD
    #4-508
    CHANDLER, AZ
    ZIP 85226
  • Phone: (480) 225-2117

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NPI Details

MR. Michael Eugene Goodwin, PA is a medical physician assistant in Chandler, AZ with 36 years of experience. MR. Michael Eugene Goodwin, PA NPI is 1558674382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4939 W RAY RD
#4-508
CHANDLER, AZ
ZIP 85226-065
Phone: (480) 225-2117

The NPI 1558674382 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2010 and was last updated on 7/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical1022ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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