Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda R Goddard, PA-C

Individual provider Physician Assistant · NPI 1356570576

Amanda R Goddard, PA-C is a Physician Assistant in Springfield, Missouri. Qualified in 2008, 18 years ago. Practices with Cornerstone Dermatology and Surgery Group PC, an 8-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
18
Licensed in
MO
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3808 S Greystone Ct
Springfield, MO 65804-6561
Phone: (417) 889-3332
Fax: (417) 881-1410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2009018151 (MO)

Record details

NPI number1356570576
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 9, 2009
Last updated in NPPESMarch 18, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Cornerstone Dermatology And Surgery Group Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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