Active NPI
Frederick Wayne Gooding Sr., M.D.
- Specialist
- Wilmington, DE
National Provider Identifier
1255377180
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Oct 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD18842
- Practice address
- 1600 Pennsylvania Ave
Ste D
Wilmington, DE 19806-4047 - Phone
- (302) 530-1618
- Fax
- (302) 652-1023
- NPI assigned
- Jun 21, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD18842 | DC | Primary |
Addresses
Primary practice location
1600 Pennsylvania Ave
Ste D
Wilmington, DE 19806-4047
Mailing address
PO Box 4200
Greenville, DE 19807-0200
Phone (302) 530-1618
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026232900 | Medicaid | DC | |
| 1000023477 | Medicaid | DE |
Other names 1
- Frederick W Gooding MD&Associates P.C.
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1255377180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4200",
"city": "GREENVILLE",
"state": "DE",
"postal_code": "198070200",
"telephone_number": "302-530-1618",
"fax_number": "302-652-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 PENNSYLVANIA AVE",
"address_2": "STE D",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198064047",
"telephone_number": "302-530-1618",
"fax_number": "302-652-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODING",
"first_name": "FREDERICK",
"middle_name": "WAYNE",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "DC",
"license": "MD18842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026232900",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000023477",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FREDERICK",
"last_name": "GOODING MD&ASSOCIATES P.C.",
"middle_name": "W",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.