Individual provider Active NPI

Frederick Wayne Gooding Sr., M.D.

  • Specialist
  • Wilmington, DE
National Provider Identifier
1255377180
Registry record updated Jan 9, 2012
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD18842 Issued in DC
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

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
026232900MedicaidDC
1000023477MedicaidDE

Other names 1

  • Frederick W Gooding MD&Associates P.C. Professional name

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. Confirm with the OIG exclusions search.
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

Verify at the official NPI Registry.