SCOTT M. GOODWIN DO – NPI #1396219887
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

SCOTT GOODWIN is a physician located in CAMP LEJEUNE, NC. NPPES has assigned the NPI number 1396219887 to SCOTT GOODWIN on January 17, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 4 years ago on Jan 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SCOTT GOODWIN below.

NPI Profile for
SCOTT M. GOODWIN

NPI Number
1396219887
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SCOTT M. GOODWIN
Credentials
DO
Primary location
2ND BATTALION 2ND MARINES
CAMP LEJEUNE, NC 28542
Phone: (910) 541-4042 Fax:
Mailing address
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone: (757) 953-0669 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 07, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
VA 0102206325
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.