Tara R Goodman, ARNP | |
1219 Main St, Hamburg, IA 51640-1300 | |
(712) 382-2626 | |
(712) 382-1931 |
Full Name | Tara R Goodman |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1219 Main St, Hamburg, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003102187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | C107297 (Iowa) | Primary |
Entity Name | Shenandoah Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497810972 PECOS PAC ID: 9436063237 Enrollment ID: O20040209000347 |
Entity Name | Medical Clinic P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124218706 PECOS PAC ID: 5395634216 Enrollment ID: O20071003000602 |
Mailing Address | Practice Location Address |
---|---|
Tara R Goodman, ARNP 1219 Main St, Hamburg, IA 51640-1300 Ph: (712) 382-2626 | Tara R Goodman, ARNP 1219 Main St, Hamburg, IA 51640-1300 Ph: (712) 382-2626 |
Laura Gene Isaacson, ARNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1219 Main Street, Hamburg, IA 51640 Phone: 712-382-2626 Fax: 712-382-1931 | |
Brooke Alex Hollars, ARNP, DNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1219 Main Street, Hamburg, IA 51640 Phone: 712-382-2626 Fax: 712-382-1931 | |
Alisha Thompson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1219 Main St, Hamburg, IA 51640 Phone: 712-382-2626 Fax: 712-382-1931 | |
Mr. David Michael Owen, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1219 Main St, Hamburg, IA 51640 Phone: 712-382-2626 Fax: 712-382-1931 |