Mason R Goodman in Indianapolis - Allergy & Immunology

Mason R Goodman - NPI 1508848433

Mason R Goodman is a Allergy & Immunology in Indianapolis, Indiana. Mason R Goodman practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Mason R Goodman is 1508848433. The last update date is 2023-06-14.

Mason R Goodman's current location address is 1801 N Senate Blvd Ste 230, Indianapolis, Indiana. You can contact this provider via phone number 3179625820 and fax number 3179623916. The mailing address for Mason R Goodman is 1801 N Senate Blvd Ste 230, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Mason R Goodman
Address 1801 N Senate Blvd Ste 230, Indianapolis, Indiana
Phone Number 3179625820
Fax Number 3179623916
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1508848433
Provider Enumeration Date 2005-11-16
Last Updated Date 2023-06-14

Provider Mailing Address Detail

Address 1801 N Senate Blvd Ste 230
City Indianapolis
State Indiana (IN)
Post Code 462021252
Phone Number 3179625820
Fax Number 3179623916

Provider's Primary Taxonomy Detail

Speciality Allergy & Immunology
Taxonomy 207K00000X
Licence No 01024689A
Definition:
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
81345 IN BC/BS
267030315 IN MEDICARE PTAN
100062950 IN --
290006483 RAILROAD MEDICARE PIN
CI0473 RAILROAD GROUP

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FAQs about Mason R Goodman

What is the unique 10-digit identifier code issued to Mason R Goodman by the Centers for Medicare & Medicaid Services?

The Mason R Goodman has been assigned the NPI (National Provider Identifier) 1508848433 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Mason R Goodman is physically located?

The Mason R Goodman is situated at the following address: 1801 N Senate Blvd Ste 230, Indianapolis, IN 462021252.

What is Mason R Goodman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mason R Goodman is Allergy & Immunology, and the taxonomy classification code that categorizes this area of expertise is 207K00000X.

On what date was the 1508848433 assigned to Mason R Goodman?

The Mason R Goodman was issued its 1508848433 on 2005-11-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Mason R Goodman most recently updated or revised?

The details related to Mason R Goodman, including its address, specialty, and other relevant information, were last updated or revised on 2023-06-14.

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