DR. STUART JACK GOODMAN M.D. MBA NPI 1982601068

NPI Information

NPI: 1982601068
Provider Name: DR. STUART JACK GOODMAN, M.D., MBA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
17 WESTERN MARYLAND PKWY
SUITE 100
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 797-6389
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DR. Stuart Jack Goodman, M.D., MBA is a neurology psychiatry neurology in Hagerstown, MD. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Stuart Jack Goodman, M.D., MBA NPI is 1982601068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17 WESTERN MARYLAND PKWY
SUITE 100
HAGERSTOWN, MD
ZIP 21740-471
Phone: (301) 797-6389
Fax: (301) 797-4119

The NPI 1982601068 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/5/2005 and was last updated on 7/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	D27445	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	522101237	OTHER	MARYLAND	PRIME HEALTH SERVICES
2	798681500	MEDICAID	MARYLAND
3	4051977	OTHER	MARYLAND	AETNA
4	522101237	OTHER	MARYLAND	HEALTHNET FEDERAL SERVICES
5	522101237	OTHER	MARYLAND	MARYLAND PHYSICIANS CARE
6	522101237	OTHER	MARYLAND	TRISTATE HEALTH PARTNERS
7	P01332730	OTHER	MARYLAND	RAILROAD MEDICARE
8	255881	OTHER	MARYLAND	JOHNS HOPKINS US FAMILY HEALTH/EHP
9	W2660036	OTHER	MARYLAND	CAREFIRST
10	C62448	MEDICARE UPIN	MARYLAND
11	522101237	OTHER	MARYLAND	UNITED HEALTHCARE
12	7419424	OTHER	MARYLAND	CIGNA
13	193363	MEDICARE PIN	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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