MEDICARE: RYAN C GOODWIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	35.078932	OH
2	207XP3100X	Pediatric Orthopaedic Surgery Physician	35.078932	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205891470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN C GOODWIN MD

Provider Business Mailing Address
First Line	:	700 CHILDRENS DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2664
Country	:	US
Telephone Number	:	614-722-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 W MAIN ST
Second Line	:
City	:	NEW ALBANY
State	:	OH
Zip	:	43054-9229
Country	:	US
Telephone Number	:	614-722-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	02/03/2026

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Directions to “ RYAN C GOODWIN MD” Practice Location

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