Thomas F. Goodall, D. O., Inc.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

34002454 Issued in OH

Legal business name

THOMAS F. GOODALL, D. O., INC.

Practice address

425 W Grand Ave
Suite 3003
Dayton, OH 45405-4775

Phone

(937) 226-7890

Fax

(937) 461-4156

NPI assigned

Feb 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Frederick Goodall, D.O.

Title

President

Phone

(937) 723-3525

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1174948434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W GRAND AVE",
            "address_2": "SUITE 3003",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054775",
            "telephone_number": "937-226-7890",
            "fax_number": "937-461-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W GRAND AVE",
            "address_2": "SUITE 3003",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054775",
            "telephone_number": "937-226-7890",
            "fax_number": "937-461-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS F. GOODALL, D. O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "GOODALL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-723-3525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "34002454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0457858",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000070362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BWC",
            "identifier": "123879100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0620007",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64044050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Smith Thiele, M.D.
• Gage Thirtyacre
• Troy Thisler Jr., PSYD
• Kelly M Thobe, PA
• Sarah Lynn Thoma, ANP
• Thomas O Williams & James F Taylor DDS Inc
• Maria Thomas-John, MD
• Adam Joseph Thomas, PA-C
• Aja R Thomas, DN
• Alexis Thomas

• Neurological Surgery Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Neurological Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.