Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Andrea Marie Goodman, MSPAS, PA-C

Individual provider Physician Assistant · NPI 1699050781

Mrs. Andrea Marie Goodman, MSPAS, PA-C is a Physician Assistant in Albuquerque, New Mexico. Works from 3 locations. Licensed in Illinois and New Mexico.

Licensed in
IL, NM
In the registry since
2011
Specialties on file
2
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

MSC06 3870 1 University Of New Mexico
Albuquerque, NM 87131
Phone: (505) 277-3136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 374 E Grand Ave, Carbondale, IL 62901-3962 — (618) 453-3311
  • 374 E Grand Ave, Carbondale, IL 62901-3962 — (618) 453-3311

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2017-0087 (NM)
Physician Assistant Taxonomy 363A00000X · Licence 085004195 (IL)

Record details

NPI number1699050781
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPAS , PA-C
Sole proprietorNo
NPI enumeratedOctober 20, 2011
Last updated in NPPESJanuary 10, 2019

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