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GOODWIN FOOT & ANKLE CENTER PLLC NPI 1821270406


NPI Information

NPI: 1821270406
Provider Name: GOODWIN FOOT & ANKLE CENTER PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3500 JACOB ST
WHEELING, WV
ZIP 26003
Phone: (304) 905-0590
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GOODWIN FOOT & ANKLE CENTER PLLC is a foot and ankle surgery podiatrist in Wheeling, WV. GOODWIN FOOT & ANKLE CENTER PLLC NPI is 1821270406. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3500 JACOB ST
WHEELING, WV
ZIP 26003-934
Phone: (304) 905-0590
Fax: (304) 905-9458

The provider's authorized official is Joseph Herbert Goodwin .
The authorized official title is Sole Member/ceo and has the following contact phone number (304) 905-0590.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 7/28/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery00377WEST VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16083730001MEDICARE NSCWEST VIRGINIA
23810012712MEDICAIDWEST VIRGINIA
39373831MEDICARE PINWEST VIRGINIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.