Dr. Miranda Anne Goodale
Foot & Ankle Surgery Primary Podiatric Medicine
955 W Craig Ave
Brazil
, Indiana 47834-7400
Dr. Miranda Anne Goodale
Foot & Ankle Surgery Primary Podiatric Medicine
955 W Craig Ave
Brazil
, Indiana 47834-7400
(812) 448-9296
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About
Features
Specialties
- Primary Podiatric Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Miranda Anne Goodale
- 955 W Craig Ave
- Brazil, IN
- Zip : 47834-7400
- Fax : (812) 448-9296
- Phone : (812) 448-9290
Second Address
- Dr. Miranda Anne Goodale
- 955 W Craig Ave
- Brazil, IN
- Zip : 47834-7400
- Fax : (812) 448-9296
- Phone : (812) 448-9290
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213EP1101X | Primary Podiatric Medicine | 07001015A | IN |
| Y | 213ES0103X | Foot & Ankle Surgery | 07001015A | IN |
National Provider Identifier
| NPI | 1003858762 |
|---|---|
| Provider Name | Dr. Miranda Anne Goodale |
| First Address | Brazil, IN 47834-7400 |
| Second Address | Brazil, IN 47834-7400 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2006 |
| Last Update Date | 31/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000392910 | BLUE CROSS BLUE SHIELD (01) | IN |
| 0385202 | CIGNA (01) | |
| 0732240001 | DMERC WITH PPG (01) | |
| 200825350A | (05) | IN |
| 37278 | IHN PPO NETWORK (01) | IN |
| 5692086 | FIRSTHEALTH (01) | |
| V10649 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.