Active NPI
Edward L Goodman, M.D.
- Infectious Disease Physician
- Dallas, TX
National Provider Identifier
1245215466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- D6437
- Practice address
- 8230 Walnut Hill LN Ste 414
Dallas, TX 75231-4469 - Phone
- (214) 691-8306
- Fax
- (214) 691-3967
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | D6437 | TX | Primary |
Addresses
Primary practice location
8230 Walnut Hill LN Ste 414
Dallas, TX 75231-4469
Mailing address
8230 Walnut Hill LN Ste 414
Dallas, TX 75231-4469
Phone (214) 691-8306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137645112 | Medicaid | TX |
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 |
|---|---|---|---|
| D6437 | TX | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Infectious Disease | Past | Accepting new patients |
Organizations & group practices 1
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": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1245215466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8230 WALNUT HILL LN STE 414",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314469",
"telephone_number": "214-691-8306",
"fax_number": "214-691-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8230 WALNUT HILL LN STE 414",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314469",
"telephone_number": "214-691-8306",
"fax_number": "214-691-3967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "EDWARD",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "D6437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137645112",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.