J. David Goodman, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C6030 Issued in AR

Practice address

2 Medicine Dr
Clarksville, AR 72830-4431

Phone

(479) 754-6510

Fax

(479) 754-5644

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Johnson Regional Medical Center

  • Obstetrics & Gynecology Physician
  • Clarksville, AR
  • NPI 1174583603
  NPD (past)
• Johnson Regional Medical Center

  • Surgery Physician
  • Clarksville, AR
  • NPI 1275558710
  NPD (past)
• Johnson Regional Medical Center

  • Land Ambulance
  • Clarksville, AR
  • NPI 1275753881
  NPD (past)
• Johnson Regional Medical Center

  • Orthopaedic Surgery Physician
  • Clarksville, AR
  • NPI 1639557226
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023054467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728300440",
            "telephone_number": "479-754-6510",
            "fax_number": "479-754-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICINE DR",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728304431",
            "telephone_number": "479-754-6510",
            "fax_number": "479-754-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "J.",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "C6030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARK.",
            "identifier": "51937",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gill-West Companies, Inc.
• Jamie Gilmer, RECOVERY ADVOCATE
• Jessie Goetting, DIETARY AIDE
• Trent Golden, RECOVERY ASSISTANT
• Hailey Elizabeth Gonzalez, COTA
• Jennifer Goodman, CMP
• Ashlynn Goodwin
• Jennifer Graff, CMP
• Kim Graves, M.D.
• Kaci Leigh Green, PHARMD

• Surgery Physician in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.