Jason Edward Goodman, M.D,

Key facts

NPI

1114199189

Entity type

Individual (NPI type 1)

Primary specialty

Obstetrics & Gynecology Physician 207V00000X

License

R1967 (KY)

Practice address

1115 Woodland Dr
Elizabethtown, KY 42701-2749

Phone

(270) 769-5963

Fax

(270) 769-9051

NPI assigned

Mar 29, 2008

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Baptist Health Medical Group Inc Family Medicine Physician · Paducah, KY · NPI 1922401611
  Medicare reassignment NPD KY · OBSTETRICS & GYNECOLOGY
• Baptist Health Medical Group Inc Rural Health Clinic/Center · Dawson Springs, KY · NPI 1982178216
  NPD
• Baptist Healthcare System Inc General Acute Care Hospital · Elizabethtown, KY · NPI 1689282147
  NPD (past)

Hospital & facility affiliations 1

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

• Baptist Healthcare System Inc General Acute Care Hospital · Elizabethtown, KY · NPI 1689282147
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Obstetrics/Gynecology

Education

University of Louisville School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Medical Group Inc (2,431 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Hardin Hospital · Elizabethtown, KY · CCN 180012

Merit-based Incentive Payment System (MIPS)

Final score

94.29 of 100 (apm)

Quality

87.32

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 11, 2012.

{
    "created_epoch": "1206748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1114199189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012749",
            "telephone_number": "270-769-5963",
            "fax_number": "270-769-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012749",
            "telephone_number": "270-769-5963",
            "fax_number": "270-769-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-29",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "R1967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William J Godfrey, MD
• Bridget Amber Godson, M.S. CCC-SLP
• Taresa Lynn Goldsmith
• Lacy Goldstein, PA-C
• Good Shepherd Institute of the Bluegrass
• Christina Gordon, MD
• Katelyn Gosnell
• Kenneth Gossett
• Gould'S Discount Medical LLC
• Brian Grace, MD

All providers in Elizabethtown, KY · Obstetrics & Gynecology Physician in Kentucky