Active NPI
Robert James Goode, M.D.
- Family Medicine Physician
- Columbus, IN
National Provider Identifier
1255477691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01022751
- Practice address
- 2525 California St
Suite E
Columbus, IN 47201-3678 - Phone
- (812) 372-4284
- Fax
- (812) 372-5051
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01022751 | IN | Primary |
Addresses
Primary practice location
2525 California St
Suite E
Columbus, IN 47201-3678
Mailing address
2525 California St
Suite E
Columbus, IN 47201-3678
Phone (812) 372-4284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000089096 | Medicaid | IN |
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 |
|---|---|---|---|
| 01022751 | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1255477691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 CALIFORNIA ST",
"address_2": "SUITE E",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472013678",
"telephone_number": "812-372-4284",
"fax_number": "812-372-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 CALIFORNIA ST",
"address_2": "SUITE E",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472013678",
"telephone_number": "812-372-4284",
"fax_number": "812-372-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "ROBERT",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01022751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000089096",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.