Gary M Goodman is a Pediatrics in Saint Louis, Missouri. Gary M Goodman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Gary M Goodman is 1811999485. The last update date is 2020-02-19.
Gary M Goodman's current location address is 456 N New Ballas Rd, Saint Louis, Missouri. You can contact this provider via phone number 3145691881 and fax number 3145693277. The mailing address for Gary M Goodman is 456 N New Ballas Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary M Goodman |
|---|---|
| Address | 456 N New Ballas Rd, Saint Louis, Missouri |
| Phone Number | 3145691881 |
| Fax Number | 3145693277 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811999485 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2020-02-19 |
Provider Mailing Address Detail
| Address | 456 N New Ballas Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631416812 |
| Phone Number | 3145691881 |
| Fax Number | 3145693277 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 102527 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 204643001 | MO | -- | |
| ENROLLED | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gary M Goodman by the Centers for Medicare & Medicaid Services?
The Gary M Goodman has been assigned the NPI (National Provider Identifier) 1811999485. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gary M Goodman's physical address?
The Gary M Goodman is physically located at 456 N New Ballas Rd, in the city of Saint Louis, MO, with the postal code 631416812.
What is the area of specialization for Gary M Goodman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gary M Goodman is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811999485 to Gary M Goodman?
The Centers for Medicare & Medicaid Services assigned the 1811999485 to Gary M Goodman on 2005-08-12.
When was the information pertaining to Gary M Goodman most recently updated or revised?
The details related to Gary M Goodman, including its address, specialty, and other relevant information, were last updated or revised on 2020-02-19.