MR. MARK STEPHEN GOODMAN MD NPI 1831186337

NPI Information

NPI: 1831186337
Provider Name: MR. MARK STEPHEN GOODMAN, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
2900 DAGGETT AVE
KLAMATH FALLS, OR
ZIP 97601
Phone: (541) 884-1371
Get Directions

MR. Mark Stephen Goodman, MD is a diagnostic radiology radiology in Klamath Falls, OR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MR. Mark Stephen Goodman, MD NPI is 1831186337. 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:

2900 DAGGETT AVE
KLAMATH FALLS, OR
ZIP 97601-101
Phone: (541) 884-1371
Fax: (541) 882-3862

The enumeration date for this NPI number is 9/30/2005 and was last updated on 9/28/2007.

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	2085R0204X	Radiology	Vascular & Interventional Radiology	MD20502	OREGON	No
2	2085R0202X	Radiology	Diagnostic Radiology	MD20502	OREGON	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
1	150322	MEDICAID	OREGON
2	G53116	MEDICARE UPIN
3	XPY191725	MEDICAID	CALIFORNIA
4	100327	MEDICARE ID-TYPE UNSPECIFIED	OREGON

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: 5/5/2024

NPI Synchronization or Removal

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