Judie R. Goodman, DO

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

5101007915 Issued in MI

Practice address

Iha Hematology Oncology Oakland
44405 Woodward Avenue, Suite 202
Pontiac, MI 48341-5023

Phone

(248) 858-2270

Fax

(248) 335-6171

NPI assigned

Jun 21, 2006

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iha Olma Specialty Services LLC

  dba THIMG Obstetrics & Gynecology Bloomfield Hills

  • Obstetrics & Gynecology Physician
  • Bloomfield Township, MI
  • NPI 1457949588
  Medicare reassignment NPD
• SJMH Medical Practice-SMHC

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1346284684
  Medicare reassignment NPD
• Newland Medical Associates, P.C.

  • Hematology & Oncology Physician
  • Bingham Farms, MI
  • NPI 1952330789
  Medicare reassignment
• Iha Olma Specialty Services LLC

  dba Trinity Health IHA Medical Group Neurosurgery

  • Neurological Surgery Physician
  • Pontiac, MI
  • NPI 1033899174
  NPD
• Iha Olma Specialty Services LLC

  dba IHA Hematology Oncology Oakland

  • Hematology & Oncology Physician
  • Pontiac, MI
  • NPI 1457094278
  NPD
• SJMH Medical Practice-SMHC

  • Urgent Care Clinic/Center
  • Waterford, MI
  • NPI 1366644551
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1003852732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "248-552-0620",
            "fax_number": "248-552-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IHA HEMATOLOGY ONCOLOGY OAKLAND",
            "address_2": "44405 WOODWARD AVENUE, SUITE 202",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415023",
            "telephone_number": "248-858-2270",
            "fax_number": "248-335-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JUDIE",
        "middle_name": "R.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "JG007915",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "5101007915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamad-Hamood Toufik Gomah
• Racheal Gonzalez
• Good Day Counseling LLC
• Good Samaritan Helping Hands
• Beverly Goodman, DDS
• Andrew P Gordon
• Lisa Gordon, LMSW
• William Henry Gordon, M.D.
• Carol Goubeaux, P.T.
• Kanika Goyal

• Hematology & Oncology Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Hematology & Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.