Provider Demographics
NPI:1275851792
Name:GOODWIN, JOSHUA JAMES (MD)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:JAMES
Last Name:GOODWIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:100 N GREEN VALLEY PKWY STE 325
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-6393
Mailing Address - Country:US
Mailing Address - Phone:702-722-6030
Mailing Address - Fax:702-776-7138
Practice Address - Street 1:100 N GREEN VALLEY PKWY STE 325
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-6393
Practice Address - Country:US
Practice Address - Phone:702-722-6030
Practice Address - Fax:702-776-7138
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-07
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV17729207L00000X, 2081P2900X
AZ486282081P2900X, 2081S0010X
IA429822081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine