NPIMap

Individual provider Active NPI

Whitney Goodwin, MD

  • Vascular & Interventional Radiology Physician
  • Little Rock, AR
National Provider Identifier
1013030782
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
E3379 Issued in AR
Practice address
9601 Baptist Health Dr
Suite 1100
Little Rock, AR 72205-6321
Phone
(501) 748-3214
Fax
(501) 227-9151
NPI assigned
Apr 9, 2007
Last updated
May 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X E3379 AR Primary

Addresses

Primary practice location

9601 Baptist Health Dr
Suite 1100
Little Rock, AR 72205-6321

Mailing address

9601 Baptist Health Dr
Suite 1100
Little Rock, AR 72205-6321
Phone (501) 748-3214

Other identifiers 1

IdentifierTypeStateIssuer
164672001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070723000874 AR Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2769583525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Arkansas College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

9500 Kanis Rd
Suite 330
Little Rock, AR 72205-6339
Phone (501) 202-4900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E3379ARMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group Current Accepting new patients
Radiology Consultants of Little Rock, PA CurrentSince Jul 1, 2007 Accepting new patients
Arkansas Health Group CurrentSince Jul 1, 2023 Accepting new patients
Arkansas Health Group CurrentSince Jul 1, 2023 Accepting new patients
Nephrology Associates PA CurrentSince Feb 1, 2018 Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

8907 Kanis Rd
Ste 330
Little Rock, AR 72205
Phone (501) 224-8810

9500 Kanis Rd
Ste 330
Little Rock, AR 72205
Phone (501) 202-4900

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210

9601 Baptist Health Dr
Ste 700
Little Rock, AR 72205
Phone (501) 219-1970

3401 Springhill Dr
Ste 325
North Little Rock, AR 72117
Phone (501) 955-0320

Interoperability endpoints

  • Direct secure messaging: wgoodwin4407@direct.baptist-healthar.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1013030782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR",
            "address_2": "SUITE 1100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-748-3214",
            "fax_number": "501-227-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR",
            "address_2": "SUITE 1100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-748-3214",
            "fax_number": "501-227-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "WHITNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AR",
            "license": "E3379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164672001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.