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ROBERT C GOODMAN DPM PC NPI 1962505578


NPI Information

NPI: 1962505578
Provider Name: ROBERT C GOODMAN DPM PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
10 COLONIAL RD STE 8
COLONIAL OFFICE PARK
SALEM, MA
ZIP 01970
Phone: (978) 744-4904
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ROBERT C GOODMAN DPM PC is a podiatrist in Salem, MA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ROBERT C GOODMAN DPM PC NPI is 1962505578. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10 COLONIAL RD STE 8
COLONIAL OFFICE PARK
SALEM, MA
ZIP 01970-947
Phone: (978) 744-4904
Fax: (978) 744-2589

The provider's authorized official is Robert C Goodman .
The authorized official title is OWNER PRESIDENTPresident and has the following contact phone number (978) 744-4904.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristMA1635MASSACHUSETTSYes
2213ES0131XPodiatristFoot SurgeryMA1635MASSACHUSETTSX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19753753MEDICAIDMASSACHUSETTS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.