NPIMap

Organization Active NPI

F Mark Goodwin MD PA

Doing business as Lakeland Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Lakeland, FL
National Provider Identifier
1194801316
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
F MARK GOODWIN MD PA
Doing business as
Lakeland Orthopaedic Clinic
Practice address
2000 E Edgewood Dr
Suite 110
Lakeland, FL 33803-3653
Phone
(863) 688-8401
Fax
(863) 682-3659
NPI assigned
Oct 31, 2006
Last updated
Apr 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Frederick Mark Goodwin, MDNPI 1568556504
Title
President
Phone
(863) 688-8401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

2000 E Edgewood Dr
Suite 110
Lakeland, FL 33803-3653

Mailing address

PO Box 907
Lakeland, FL 33802-0907
Phone (863) 688-8401

Other names 1

  • Lakeland Orthopaedic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1325 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-1500

2000 E Edgewood Dr
Ste 110
Lakeland, FL 33803
Phone (813) 688-8401

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1194801316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338020907",
            "telephone_number": "863-688-8401",
            "fax_number": "863-682-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E EDGEWOOD DR",
            "address_2": "SUITE 110",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033653",
            "telephone_number": "863-688-8401",
            "fax_number": "863-682-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F MARK GOODWIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-688-8401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Orthopaedic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.