Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAINE GOODMAN
ActiveBLAINE GOODMAN is a Certified Nurse Anesthetist (CRNA) healthcare provider located in ROLLA, Missouri. NPI 1104483718 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · ROLLA, MO
Registration Details
- NPI Number
- 1104483718
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2019 (7.2186444833167 yrs)
- Last Updated
- May 20, 2019
- License
-
2019012508 (MO)
Practice Information
- Address
-
1000 W 10TH STROLLA, MO, 654012905Browse MO providers · Browse ZIP 65401
- Phone
- 5734588899
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in ROLLA, MO
| Name | Credential | NPI |
|---|---|---|
| MS. KAREN M ZANG | CRNA | 1720058647 |
| MR. JEFFREY COLENCH | CRNA | 1568432490 |
| MR. KEVIN G PICKENS | CRNA | 1558331843 |
| JEFFREY D HEESE | CRNA | 1396787545 |
| ALLAN L PLAPP | CRNA | 1730106428 |
| KIMBERLY L. REDMAN | CRNA | 1366510448 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.