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

Individual provider Specialist · NPI 1689665135

Stefanie A Goodrich, PA is a Physician Assistant in Worcester, Massachusetts. Qualified in 2002, 24 years ago. Practices with Worcester Dermatology Associates, PC, a 4-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
24
Licensed in
MA
In the registry since
2005
Specialties on file
2
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 may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

100 Martin Luther King Jr Blvd
Worcester, MA 01680-1209
Phone: (508) 754-3823
Fax: (508) 753-0151

No coordinates on file. Search this address in Google Maps

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1875 (MA)
Specialist Taxonomy 174400000X · Licence 1875 (MA)

Record details

NPI number1689665135
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 3, 2005
Last updated in NPPESFebruary 13, 2021
Certification dateJanuary 29, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Worcester Dermatology Associates, P.C. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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