DR. JOHN WENDALL GOODWIN MD NPI 1710077060

NPI Information

  • NPI: 1710077060
  • Provider Name: DR. JOHN WENDALL GOODWIN, MD
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Individual
  • Address: 2115 S FREMONT AVE
    SUITE 1000
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 820-8099

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NPI Details

DR. John Wendall Goodwin, MD is a hematology and oncology internal medicine in Springfield, MO. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. John Wendall Goodwin, MD NPI is 1710077060. 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:

2115 S FREMONT AVE
SUITE 1000
SPRINGFIELD, MO
ZIP 65804-239
Phone: (417) 820-8099
Fax: (417) 820-8093

The enumeration date for this NPI number is 10/14/2006 and was last updated on 7/15/2008.

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
1207RH0003XInternal MedicineHematology & OncologyR5365MISSOURIYes

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
1201246444MEDICAIDMISSOURI
2122013268MEDICARE PINMISSOURI
3A12103MEDICARE UPINMISSOURI
4075013230MEDICARE PINMISSOURI

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: 11/21/2025

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