MRS. KATHERINE STARR GOODWIN PA-C NPI 1912630930

NPI Information

NPI: 1912630930
Provider Name: MRS. KATHERINE STARR GOODWIN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
145 HOLLIS ST
MANCHESTER, NH
ZIP 03101
Phone: (603) 626-9500
Get Directions

MRS. Katherine Starr Goodwin, PA-C is a medical physician assistant in Manchester, NH with 2 years of experience. MRS. Katherine Starr Goodwin, PA-C NPI is 1912630930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

145 HOLLIS ST
MANCHESTER, NH
ZIP 03101-235
Phone: (603) 626-9500

The NPI 1912630930 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 7/7/2022 and was last updated on 11/30/2022.

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
1	363AM0700X	Physician Assistant	Medical			No
2	363AM0700X	Physician Assistant	Medical	1907	NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3137339	MEDICAID	NEW HAMPSHIRE
2	1907	OTHER	NEW HAMPSHIRE	PA-C LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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