Dr. Scott T Goodrich
Gynecologist Gynecologic Oncologist
11050 Parkview Circle Dr
Fort Wayne
, Indiana 46845
Dr. Scott T Goodrich
Gynecologist Gynecologic Oncologist
11050 Parkview Circle Dr
Fort Wayne
, Indiana 46845
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About
Features
Specialties
- Gynecologist
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Dr. Scott T Goodrich
- 11109 Parkview Plaza Dr # 117
- Fort Wayne, IN
- Zip : 46845-1701
- Phone :
Second Address
- Dr. Scott T Goodrich
- 11050 Parkview Circle Dr
- Fort Wayne, IN
- Zip : 46845
- Fax : (260) 266-8941
- Phone : (833) 724-8326
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207VG0400X | Gynecologist | MD60256427 | WA |
| Y | 207VX0201X | Gynecologic Oncologist | 01078092A | IN |
| N | 207VX0201X | Gynecologic Oncologist | MC60256427 | WA |
National Provider Identifier
| NPI | 1083748966 |
|---|---|
| Provider Name | Dr. Scott T Goodrich |
| First Address | Fort Wayne, IN 46845-1701 |
| Second Address | Fort Wayne, IN 46845 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/03/2007 |
| Last Update Date | 29/06/2021 |
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.