P Praxis·MD
● Active Type 1 · Individual

Wendy Monique Goodrich, PA C

Physician Assistant·Moscow, ID· NPI 1255400388 · Enumerated 2006 · 19 years on NPI
Goodrich is 1 of 10 physician assistant providers in Moscow and 1 of 1263 in Idaho.
NPI age
19 years
Enumerated 2006-11-06
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID, GA, DC
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-07-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
3 states
Top 81% — 19% of peers are multi-state
Subspecialties
1
In the 35% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
623 S Main St Ste 1
Moscow, ID 838432983
📞 2088822011fax 2088831853
Mailing address
623 S Main St Ste 1
Moscow, ID 838433042
📞 2088822011

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
2021 K St Nw, Suite 512
Washington, DC 200061003
📞 2022933636fax 2022930289
Location 3
2021 K St Nw, Suite 512
Washington, DC 200061003
📞 2022933636fax 2022930289
Location 4
2500 W A St Ste 101
Moscow, ID 83843
📞 2088820540

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    ID license #PA-1297GA license #5747 taxonomy 363A00000X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    DC license #PA030391 taxonomy 207R00000X

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 1263 Physician Assistant providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related