Lee A. Goodman, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

D0036668 Issued in MD

Practice address

79 West St
Annapolis, MD 21401-2426

Phone

(410) 268-3627

Fax

(410) 267-6372

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Apr 1, 2014 through Apr 1, 2028

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.

• Contee Emergency Physicians

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  • NPI 1710936398
  NPD (past)
• Dresnick Sterling Emergency Physicians of Maryland PA

  • Emergency Medicine Physician
  • Bel Air, MD
  • NPI 1083664908
  NPD (past)
• Eastern Shore Emergency Medicine Physicians, LLC

  • Emergency Medicine Physician
  • Cambridge, MD
  • NPI 1558314203
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093752008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 WEST ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012426",
            "telephone_number": "410-268-3627",
            "fax_number": "410-267-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 WEST ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012426",
            "telephone_number": "410-268-3627",
            "fax_number": "410-267-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "LEE",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0036668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284791400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Cameron Good, LCSW-C, BCD, PH.D.
• Marvin D Goodley
• Goodman Dental Care LLC
• A Gary Goodman, DDS
• Jeremy Haskell Goodman, DDS
• Marie Darcy Goodman, PA-C
• Frederick K Goodwin, M.D.
• Sheila Kay Goodwin, RN
• Danielle Googe
• Andrew G Gordon, MD

• Emergency Medicine Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Emergency Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.