Active NPI
Linda A Goodrum, M.D.
- Maternal & Fetal Medicine Physician
- Webster, TX
National Provider Identifier
1164412300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- J4827
- Practice address
- 251 Medical Center Blvd
Suite 300a
Webster, TX 77598-4213 - Phone
- (281) 338-7693
- Fax
- (281) 338-8849
- NPI assigned
- Oct 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | J4827 | TX | Primary |
Addresses
Primary practice location
251 Medical Center Blvd
Suite 300a
Webster, TX 77598-4213
Mailing address
5124 Hidden Brook LN
League City, TX 77573-5781
Phone (281) 338-7693
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132474109 | Medicaid | TX | |
| 176589301 | Medicaid | TX | |
| 20-1567092 | Other | TX | TAX IDENTIFICATION NUMBER |
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 |
|---|---|---|---|
| J4827 | TX | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas F. Rowe,M.D.,P.a. | Past | Accepting new patients | |
| Baylor College of Medicine | Maternal & Fetal Medicine | Past | Accepting new patients |
| Baylor College of Medicine | Past | Accepting new patients |
Interoperability endpoints
- lgoodrum156917@direct.houstonmethodist.org
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.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Obstetrics & Gynecology Physician
- Houston, TX
- NPI 1972516557
Maternal & Fetal Medicine
-
- Specialist
- Webster, TX
- NPI 1699962126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1164412300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5124 HIDDEN BROOK LN",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775735781",
"telephone_number": "281-338-7693",
"fax_number": "281-338-8849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 MEDICAL CENTER BLVD",
"address_2": "SUITE 300A",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984213",
"telephone_number": "281-338-7693",
"fax_number": "281-338-8849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODRUM",
"first_name": "LINDA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-27",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "TX",
"license": "J4827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132474109",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176589301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "20-1567092",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.