Anthony B Goodesmith

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

R4213 Issued in MD

Practice address

8815 Maple Lawn Blvd
Suite 350
Fulton, MD 20759-2683

Phone

(888) 886-1167

NPI assigned

Feb 5, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Standard Medical Equipment Systems LLC

  • Durable Medical Equipment & Medical Supplies
  • Fulton, MD
  • NPI 1346888666
  NPD Authorized official
• Standard Medical Home Healthcare, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fulton, MD
  • NPI 1750580346
  NPD Authorized official

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1164054581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 MAPLE LAWN BLVD",
            "address_2": "SUITE 350",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592683",
            "telephone_number": "888-886-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 MAPLE LAWN BLVD",
            "address_2": "SUITE 350",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592683",
            "telephone_number": "888-886-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODESMITH",
        "first_name": "ANTHONY",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "R4213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "1346888666",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@standardmed.us",
            "affiliation": "N",
            "endpointDescription": "info@standardmed.us",
            "address_1": "8815 Maple Lawn Blvd",
            "address_2": "Suite 350",
            "city": "Fulton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207592683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Gellis, MAC LAC
• Genuine Groups, Inc.
• Diyonna Genwright
• Konstantin Glinka
• Tianya Godinez
• Jamecion Green
• Jamine Green
• Tamara Marie Green, M.D.
• Michelle D Greenberg, LCSW-C
• Judith Greengold, CRNP

• Durable Medical Equipment & Medical Supplies in Fulton, MD
• Providers in Fulton, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.