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

Timothy James Goodridge, AA

Individual provider Anesthesiologist Assistant · NPI 1174669451

Timothy James Goodridge, AA is an Anesthesiology Assistant in Round Rock, Texas. Qualified in 1997, 29 years ago. Practices with Scott and White Clinic, a 2,429-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
29
Licensed in
TX
In the registry since
2007
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Practice location Address checks out

302 University Blvd
Round Rock, TX 78665-1032
Phone: (512) 509-0200
Fax: (512) 218-6330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 343 (TX)

Record details

NPI number1174669451
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021
Mailing addressPo Box 844658, Dallas, TX 75284-4658

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Round Rock