Individual provider Active NPI

Linda A Goodrum, M.D.

  • Maternal & Fetal Medicine Physician
  • Webster, TX
National Provider Identifier
1164412300
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
J4827 Issued in TX
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

Updated by the provider on Sep 24, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
132474109MedicaidTX
176589301MedicaidTX
20-1567092OtherTXTAX 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

LicenseStateTypeSpecialty
J4827TXMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.