DR. THOMAS EDWARD GOODRICH M.D. NPI 1649488826

NPI Information

  • NPI: 1649488826
  • Provider Name: DR. THOMAS EDWARD GOODRICH, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 6015 DURAND AVE
    SUITE 500
    MT PLEASANT, WI
    ZIP 53406
  • Phone: (262) 456-1000

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NPI Details

DR. Thomas Edward Goodrich, M.D. is a family medicine in Mt Pleasant, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Thomas Edward Goodrich, M.D. NPI is 1649488826. 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:

6015 DURAND AVE
SUITE 500
MT PLEASANT, WI
ZIP 53406-089
Phone: (262) 456-1000

The enumeration date for this NPI number is 5/19/2007 and was last updated on 10/7/2014.

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
1207Q00000XFamily Medicine28720WISCONSINYes

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
1B53155MEDICARE UPINWISCONSIN
230830700MEDICAIDWISCONSIN
3000052353MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN

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: 11/21/2025

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