Provider Demographics
NPI:1053555706
Name:GOODMAN, LINNEA ROSE (MD)
Entity type:Individual
Prefix:DR
First Name:LINNEA
Middle Name:ROSE
Last Name:GOODMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4100 OLYMPIA CIR STE 201
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-3620
Mailing Address - Country:US
Mailing Address - Phone:919-966-5283
Mailing Address - Fax:919-966-5214
Practice Address - Street 1:4100 OLYMPIA CIR STE 201
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-3620
Practice Address - Country:US
Practice Address - Phone:434-220-6620
Practice Address - Fax:434-220-6621
Is Sole Proprietor?:No
Enumeration Date:2009-04-25
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH121001207V00000X
VA0101271378207VE0102X
NC157000390200000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program