MS. LYNDA GOODENOUGH P.A. NPI 1295784940

NPI Information

NPI: 1295784940
Provider Name: MS. LYNDA GOODENOUGH, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
10011 CENTENNIAL PKWY
SUITE 350
SANDY, UT
ZIP 84070
Phone: (801) 561-3922
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MS. Lynda Goodenough, P.A. is a medical physician assistant in Sandy, UT. MS. Lynda Goodenough, P.A. NPI is 1295784940. 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:

10011 CENTENNIAL PKWY
SUITE 350
SANDY, UT
ZIP 84070-156
Phone: (801) 561-3922
Fax: (801) 569-8710

The enumeration date for this NPI number is 5/9/2006 and was last updated on 8/6/2013.

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	104165-1206	UTAH	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	S84999	MEDICARE UPIN	UTAH

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: 11/14/2023

NPI Synchronization or Removal

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