Active NPI
Scott Craig Goodwin, M.D.
- Vascular & Interventional Radiology Physician
- Scottsdale, AZ
National Provider Identifier
1144331703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 55215
- Practice address
- 7141 E Rancho Vista Dr Unit 5001
Scottsdale, AZ 85251-1485 - Phone
- (818) 970-8938
- NPI assigned
- Aug 31, 2006
- Last updated
- Mar 21, 2024
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | G56437 | CA | |
| Neuroradiology Physician | 2085N0700X | G56437 | CA | |
| Nuclear Radiology Physician | 2085N0904X | G56437 | CA | |
| Pediatric Radiology Physician | 2085P0229X | G56437 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | G56437 | CA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | G56437 | CA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 55215 | AZ | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | G56437 | CA |
Addresses
Primary practice location
7141 E Rancho Vista Dr Unit 5001
Scottsdale, AZ 85251-1485
Mailing address
7141 E Rancho Vista Dr Unit 5001
Scottsdale, AZ 85251-1485
Phone (818) 970-8938
Other practice location 1
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone (310) 268-3478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G56437 | CA | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr L Reynolds Assoc PC | Past | Accepting new patients | |
| UCLA Radiology Medical Group | Body Imaging | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Southfield, MI
- NPI 1669423265
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1881670248
Body Imaging
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1144331703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7141 E RANCHO VISTA DR UNIT 5001",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852511485",
"telephone_number": "818-970-8938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7141 E RANCHO VISTA DR UNIT 5001",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852511485",
"telephone_number": "818-970-8938"
}
],
"practiceLocations": [
{
"address_1": "11301 Wilshire Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900731003",
"country_code": "US",
"telephone_number": "310-268-3478",
"fax_number": "310-268-4973",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODWIN",
"first_name": "SCOTT",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "CA",
"license": "G56437",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "CA",
"license": "G56437",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "CA",
"license": "G56437",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "CA",
"license": "G56437",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G56437",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "G56437",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "AZ",
"license": "55215",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "G56437",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.