Individual provider Active NPI

William W. Goodman III, MD

  • Pediatric Orthopaedic Surgery Physician
  • Monett, MO
National Provider Identifier
1215075403
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
2001001469 Issued in MO
Practice address
1000 E Highway 60
Monett, MO 65708-8258
Phone
(417) 236-2440
Fax
(417) 354-1458
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 2001001469 MO Primary

Addresses

Primary practice location

1000 E Highway 60
Monett, MO 65708-8258

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

Other identifiers 1

IdentifierTypeStateIssuer
205197205MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000780 MO Practitioner - Orthopedic Surgery 9739212226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cox-Monett Hospital IncGroup PAC ID 0345236667, 69 clinicians

Practice addresses (Care Compare)

1000 E Hwy 60
Monett, MO 65708-8258
Phone (417) 354-1580

75 Smithson Dr
Suite a
Cassville, MO 65625-9429
Phone (417) 847-3500

Hospital & facility affiliations

  • Cox Monett Hospital Hospital, Monett, MO, CCN 261329
  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2001001469MOMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cox Monett Hospital Inc CurrentSince Nov 1, 2021 Accepting new patients
Cox-Monett Hospital Inc Family Medicine Current Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Nisenfeld & Chilton, M.D., P.a. Past Accepting new patients

Locations

75 Smithson Dr
Ste A
Cassville, MO 65625
Phone (417) 847-3500

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

Interoperability endpoints

  • Direct secure messaging: wgoodman889@directb.mercy.net

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1215075403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E HIGHWAY 60",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657088258",
            "telephone_number": "417-236-2440",
            "fax_number": "417-354-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "WILLIAM",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "MO",
            "license": "2001001469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205197205",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monett, MO

Sources for this page

Verify at the official NPI Registry.