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

Mr. Nicholas Grant Goodman, PA

Individual provider Physician Assistant · NPI 1538450853

Mr. Nicholas Grant Goodman, PA is a Physician Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4434 N 12th St
Phoenix, AZ 85014-4507
Phone: (602) 242-8857
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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 4697 (AZ)

Record details

NPI number1538450853
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 20, 2011
Last updated in NPPESMarch 11, 2013

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