Mason R Goodman in Indianapolis - Allergy

Mason R Goodman - NPI 1508848433

Mason R Goodman is a Allergy in Indianapolis, Indiana. Mason R Goodman practices all healthcare services and medical treatments related to Allergy. 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
Taxonomy 207Ka0200X
Licence No 01024689A
Definition:
A physician who specializes in the diagnosis, treatment, and management of allergies.

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, and the taxonomy classification code that categorizes this area of expertise is 207Ka0200X.

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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