DR. GORDON D. GOODMAN M. D. NPI 1013907351

NPI Information

NPI: 1013907351
Provider Name: DR. GORDON D. GOODMAN, M. D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1106 DRUID RD S
SUITE 302
CLEARWATER, FL
ZIP 33756
Phone: (727) 441-3711
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DR. Gordon D. Goodman, M. D. is a diagnostic radiology radiology in Clearwater, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Gordon D. Goodman, M. D. NPI is 1013907351. 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:

1106 DRUID RD S
SUITE 302
CLEARWATER, FL
ZIP 33756-846
Phone: (727) 441-3711

The enumeration date for this NPI number is 10/27/2005 and was last updated on 12/2/2011.

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	2085R0202X	Radiology	Diagnostic Radiology	ME36216	FLORIDA	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	62249	OTHER	FLORIDA	BCBS
2	068313200	MEDICAID	FLORIDA
3	D57367	MEDICARE UPIN	FLORIDA
4	62249	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MEDICARE NUMBER

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: 11/14/2023

NPI Synchronization or Removal

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