Provider Demographics
NPI:1720433410
Name:GOODNOW, STEVEN
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:GOODNOW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9335 MCKNIGHT RD FL 1
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5903
Mailing Address - Country:US
Mailing Address - Phone:412-847-2020
Mailing Address - Fax:412-847-2025
Practice Address - Street 1:9335 MCKNIGHT RD FL 1
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5903
Practice Address - Country:US
Practice Address - Phone:412-847-2020
Practice Address - Fax:412-847-2025
Is Sole Proprietor?:No
Enumeration Date:2016-04-29
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS019997207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine