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Active NPI 1538450853 Individual Practitioner Male Practitioner

Nicholas Grant Goodman , PA

Physician Assistant • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Nicholas Goodman, PA is a registered healthcare professional specializing in Physician Assistant in Phoenix, AZ. Practice services are available at 4434 N 12TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4434 N 12th St

Phoenix, AZ 850144507

Telephone 6022428857
Associated Practice Facility / Clinic
🏢 Phoenix Pediatrics Ltd Facility NPI 1871788513

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
938 Specialists

Practicing in Phoenix, AZ (3711 Statewide)

Telehealth Adoption Rate
14.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 4697

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Zackary Patton

Pediatrics

NPI 1093400798
Carolyn Dimiceli

Nurse Practitioner

NPI 1356911994
NPI 1356960959

Doctor of Medicine (M.D.)

NPI 1396780755

Doctor of Medicine (M.D.)

Dr. John Curley , DO

Pediatrics - Adolescent Medicine

NPI 1508957101

Doctor of Osteopathic Medicine (D.O.)

Annmarie Mcnulty , CPNP

Nurse Practitioner

NPI 1689824682

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2013

Registered at 4434 N 12TH ST, PHOENIX, AZ 850144507 (Tel: 6022428857)

📍
Updated Business Mailing Address March 11, 2013

Registered at 20717 N 59TH DR, GLENDALE, AZ 853086761 (Tel: 6233372689)

👤
Provider Name / Credentials Updated March 11, 2013

Recorded as NICHOLAS GOODMAN, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2013

Physician Assistant (License #4697 in AZ)

🟢
Initial NPI Registration & Enumeration April 20, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538450853
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2011
Last Update: March 11, 2013
Sole Proprietor: No

Mailing Address

20717 N 59th Dr

Glendale, AZ 853086761

Phone: 6233372689

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.