Individual provider Active NPI

Robin Q Goodman, MD

  • Emergency Medicine Physician
  • Morrilton, AR
National Provider Identifier
1063526606
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C-6166 Issued in AR
Practice address
4 Hospital Dr
Morrilton, AR 72110-4510
Phone
(501) 977-2300
Fax
(214) 712-2487
NPI assigned
Aug 19, 2006
Last updated
Jun 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C-6166 AR Primary
Pediatrics Physician 208000000X C6166 AR
Hospitalist Physician 208M00000X C-6166 AR

Addresses

Primary practice location

4 Hospital Dr
Morrilton, AR 72110-4510

Mailing address

1717 Main St
Suite 5200
Dallas, TX 75201-4612
Phone (214) 712-2019

Other practice location 1

200 N 3rd St
Dardanelle, AR 72834-3802
Phone (479) 229-4677

Other practice location 2

200 N 3rd St
Dardanelle, AR 72834-3802
Phone (479) 229-4677

Other identifiers 1

IdentifierTypeStateIssuer
C6166OtherARALLOPATHIC PHYSICIAN LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20070419000716 AR Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 2769452788 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Emergency Medicine
Education
University of Arkansas College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flagg Emergency Group, PLLCGroup PAC ID 5698008019, 11 clinicians

Practice addresses (Care Compare)

200 N 3Rd St
Dardanelle, AR 72834-3802
Phone (479) 229-4677

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C6166ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc CurrentSince Feb 26, 2019 Accepting new patients
Faulkner Emergency Group, PLLC Emergency Medicine CurrentSince Jun 13, 2019 Accepting new patients
St. Vincent Infirmary Medical Center Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
John Ed Chambers Memorial Hospital, Inc. Current Accepting new patients
Shiloh Emergency Group PLLC Emergency Medicine CurrentSince Jun 5, 2020 Accepting new patients
John Ed Chambers Memorial Hospital, Inc CurrentSince Apr 1, 2019 Accepting new patients
St. Vincent Infirmary Medical Center Current Accepting new patients
John Ed Chambers Memorial Hospital, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Feb 26, 2019 Accepting new patients
East Arkansas Emergency Physicians, PLLC Emergency Medicine CurrentSince Oct 30, 2016 Accepting new patients
St Vincent Infirmary Medical Center CurrentSince May 1, 2019 Accepting new patients
Flagg Emergency Group, PLLC Emergency Medicine CurrentSince May 20, 2019 Accepting new patients
East Arkansas Emergency Physicians, PLLC Emergency Medicine Current Accepting new patients
St. Anthony's Hospital Association Past Accepting new patients
Petit Jean Emergency Physicians Emergency Medicine Past Accepting new patients
Dardanelle Family Clinic Past Accepting new patients
St. Anthony's Hospital Association Past Accepting new patients
Dardanelle Emergency Medicine LLC Emergency Medicine Past Accepting new patients
General Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients

Locations

1520 N Division St
Blytheville, AR 72315
Phone (870) 780-6832

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

1100 E Poplar St
Ste C
Clarksville, AR 72830
Phone (479) 754-5454

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

719 Detroit Ave
Danville, AR 72833
Phone (479) 495-2241

200 N 3rd St
Dardanelle, AR 72834
Phone (479) 229-2827

10100 Kanis Rd
Little Rock, AR 72205
Phone (501) 255-6000

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1063526606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST",
            "address_2": "SUITE 5200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014612",
            "telephone_number": "214-712-2019",
            "fax_number": "214-712-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HOSPITAL DR",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721104510",
            "telephone_number": "501-977-2300",
            "fax_number": "214-712-2487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dardanelle",
            "state": "AR",
            "postal_code": "728343802",
            "country_code": "US",
            "telephone_number": "479-229-4677",
            "fax_number": "479-229-6182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dardanelle",
            "state": "AR",
            "postal_code": "728343802",
            "country_code": "US",
            "telephone_number": "479-229-4677",
            "fax_number": "479-229-6182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ROBIN",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C-6166",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "C6166",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "C-6166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLOPATHIC PHYSICIAN LIC",
            "identifier": "C6166",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrilton, AR

Sources for this page

Verify at the official NPI Registry.