Blaine Goodman is a Rolla, Missouri based nurse anesthetist with 6 years of experience as Anesthesia Administration. He completed he graduation in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Blaine Goodman is 2019012508 for Anesthesia Administration in Missouri. his current practice location is 1000 W 10th St, Rolla. Patients can reach him at 573-458-8899. Blaine Goodman with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1104483718. Blaine Goodman is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Blaine Goodman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Experience:
6+ years
Medical School Attended:
Other
Graduation Year:
2019
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1000 W 10th St, Rolla, Missouri, 65401-2905
Phone:
573-458-8899
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3173857570
Enrollment ID:
I20190618002701
NPI Number:
1104483718
NPI Enumeration Date:
20 May, 2019
NPI Last Update On:
20 May, 2019
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blaine Goodman are as mentioned below.
License Number
Specialization
State
Status
2019012508
Anesthesia Administration
Missouri
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Phelps County Regional Medical Center (260017)
Rolla, MO
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Blaine Goodman has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Phelps County Regional Medical Center (2860391158)
49
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
829 Oak Knoll Rd, Rolla, Missouri
Zip:
65401-4715
Phone Number:
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Fax Number:
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Patients can reach Blaine Goodman at 1000 W 10th St, Rolla, Missouri or can call to book an appointment on 573-458-8899.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.