SAMANTHA ANN GOODENOW MD
NPI 1013777945
Student in an Organized Health Care Education/Training Program in Brighton, MI

Active since March 19, 2024PECOS Enrolled
7575 GRAND RIVER RD STE 209, BRIGHTON, MI 48114(810) 844-7950 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Ann Goodenow Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA ANN GOODENOW MD (NPI 1013777945) is an individual student in an organized health care education/training program in Brighton, Michigan and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013777945
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA ANN GOODENOWCredential: MD
Location Address7575 GRAND RIVER RD STE 209Brighton, MI 48114-9379
Mailing Address31185 Wellington Dr Apt 28304Novi, MI 48377-4194 · (248) 924-1614
Sole ProprietorNo
Enumeration DateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
NPI 1013777945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7575 GRAND RIVER RD STE 209, Brighton, MI 48114

Other Names 1

Former Name (1)Samantha Ann Heiler

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Ann Goodenow Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
7575 GRAND RIVER RD STE 209
BRIGHTON, MI 48114
Student in an Organized Health Care Education/Training Program
7575 GRAND RIVER RD STE 209
BRIGHTON, MI 48114
Student in an Organized Health Care Education/Training Program
7575 GRAND RIVER RD STE 209
BRIGHTON, MI 48114
Student in an Organized Health Care Education/Training Program
7575 GRAND RIVER RD STE 209
BRIGHTON, MI 48114
Student in an Organized Health Care Education/Training Program
7575 GRAND RIVER RD STE 209
BRIGHTON, MI 48114
Student in an Organized Health Care Education/Training Program
7575 GRAND RIVER RD STE 209
BRIGHTON, MI 48114
Student in an Organized Health Care Education/Training Program
7575 GRAND RIVER RD STE 209
BRIGHTON, MI 48114
Student in an Organized Health Care Education/Training Program
7575 GRAND RIVER RD STE 209
BRIGHTON, MI 48114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Goodenow's NPI number?

The NPI number for Samantha Goodenow is 1013777945. It was assigned to this individual provider in the NPPES registry on March 19, 2024. The provider is also known as Samantha Ann Heiler.

Where is Samantha Goodenow located?

Samantha Goodenow practices at 7575 Grand River Rd Ste 209, Brighton, MI 48114. The listed phone number is (810) 844-7950.

What is Samantha Goodenow's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samantha Goodenow enrolled in Medicare?

Yes. Samantha Goodenow is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Goodenow was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.