E.B. ROSS JR MD-STEPHEN D GOODWIN MD NPI 1124246889

NPI Information

  • NPI: 1124246889
  • Provider Name: E.B. ROSS, JR MD-STEPHEN D GOODWIN, MD
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Organization
  • Address: 120 MEADOWCREST ST
    SUITE 200
    GRETNA, LA
    ZIP 70056
  • Phone: (504) 391-7650

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NPI Details

E.B. ROSS, JR MD-STEPHEN D GOODWIN, MD is an otolaryngology in Gretna, LA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. E.B. ROSS, JR MD-STEPHEN D GOODWIN, MD NPI is 1124246889. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 MEADOWCREST ST
SUITE 200
GRETNA, LA
ZIP 70056-255
Phone: (504) 391-7650
Fax: (504) 394-7344

The provider's authorized official is Edwin B Ross .
The authorized official title is President and has the following contact phone number (504) 391-7650.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 3/17/2009.

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
1207Y00000XOtolaryngologyYes

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
11379689MEDICAIDLOUISIANA
21337994MEDICAIDLOUISIANA
31146099MEDICAIDLOUISIANA
455436DE70MEDICARE PINLOUISIANA
552144DE70MEDICARE PINLOUISIANA
655436MEDICARE PINLOUISIANA
75DE70MEDICARE PINLOUISIANA
852144MEDICARE PINLOUISIANA

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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