Organization
MICHAEL J. GOODWIN, MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J. GOODWIN M.D. (OWNER/PHYSICIAN)
(606) 325-0227
Entity
Organization
Contact information
Practice address
1000 ASHLAND DR, SUITE 103, ASHLAND, KY 41101-7084
(606) 325-0227
(606) 324-0126
Mailing address
1000 ASHLAND DR, SUITE 103, ASHLAND, KY 41101-7084
(606) 325-0227
(606) 324-0126
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28576
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0885350
—
OH
01
—
200012652
RAILROAD MEDICARE
—
05
—
64285760
—
KY
Enumeration date
01/08/2008
Last updated
11/28/2011
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