Active NPI
Robin Q Goodman, MD
- Emergency Medicine Physician
- Morrilton, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C-6166
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C6166 | Other | AR | ALLOPATHIC 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Arkansas College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| C6166 | AR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Regional Medical Center Inc | Current | Accepting new patients | |
| Faulkner Emergency Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| St. Vincent Infirmary Medical Center | Emergency Medicine | Current | Accepting new patients |
| John Ed Chambers Memorial Hospital, Inc. | Current | Accepting new patients | |
| Shiloh Emergency Group PLLC | Emergency Medicine | Current | Accepting new patients |
| John Ed Chambers Memorial Hospital, Inc | Current | Accepting new patients | |
| St. Vincent Infirmary Medical Center | Current | Accepting new patients | |
| John Ed Chambers Memorial Hospital, Inc. | Current | Accepting new patients | |
| Conway Regional Medical Center Inc | Current | Accepting new patients | |
| East Arkansas Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| St Vincent Infirmary Medical Center | Current | Accepting new patients | |
| Flagg Emergency Group, PLLC | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Dardanelle, AR
- NPI 1912464405
-
- General Acute Care Hospital
- Conway, AR
- NPI 1417024662
-
- Emergency Medicine Physician
- Blytheville, AR
- NPI 1932442985
-
- Emergency Medicine Physician
- Conway, AR
- NPI 1083279533
-
- Emergency Medicine Physician
- Sherwood, AR
- NPI 1205458189
-
dba St Vincent North Anesthesia Group
- Certified Registered Nurse Anesthetist
- Sherwood, AR
- NPI 1316991847
-
dba Conway Regional Mobile Health Unit
- Family Medicine Physician
- Conway, AR
- NPI 1043183544
-
- Emergency Medicine Physician
- Clarksville, AR
- NPI 1609259753
-
dba Chambers Memorial Hospital
- Psychiatric Hospital Unit
- Danville, AR
- NPI 1275029480
-
- Emergency Care Clinic/Center
- Danville, AR
- NPI 1154358307
-
dba Western Yell County Medical Clinic
- Primary Care Clinic/Center
- Havana, AR
- NPI 1346431384
-
dba St Vincent Infirmary Medical Center - GeroPsych Unit
- Psychiatric Hospital Unit
- Little Rock, AR
- NPI 1710442801
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dardanelle Regional Medical Center
- Critical Access Hospital
- Dardanelle, AR
- NPI 1184629594
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.