Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blaine Goodman

Individual provider Certified Registered Nurse Anesthetist · NPI 1104483718

Blaine Goodman is a Certified Registered Nurse Anesthetist (CRNA) in Rolla, Missouri. Qualified in 2019, 7 years ago. Practices with Comprehensive Anesthesia Care PC, a 46-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019
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Practice location Address checks out

1000 W 10th St
Rolla, MO 65401-2905
Phone: (573) 458-8899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2019012508 (MO)

Record details

NPI number1104483718
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2019
Last updated in NPPESMay 20, 2019
Mailing address829 Oak Knoll Rd, Rolla, MO 65401-4715

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Comprehensive Anesthesia Care Pc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rolla