Individual provider Active NPI

Joshua James Goodwin, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Henderson, NV
National Provider Identifier
1275851792
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
17729 Issued in NV
Practice address
100 N Green Valley Pkwy Ste 325
Henderson, NV 89074-6393
Phone
(702) 722-6030
Fax
(702) 776-7138
NPI assigned
May 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 17729 NV
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 48628 AZ
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 48628 AZ
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 42982 IA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 17729 NV Primary

Addresses

Primary practice location

100 N Green Valley Pkwy Ste 325
Henderson, NV 89074-6393

Mailing address

100 N Green Valley Pkwy Ste 325
Henderson, NV 89074-6393
Phone (702) 722-6030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20220120001956 NV Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Sports Medicine 1052532579 Reassigns benefits to 1 organization
Practice locations: Henderson, NV

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management, Sports Medicine
Education
University of New Mexico School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 N Green Valley Pkwy
Suite 325
Henderson, NV 89074-6393
Phone (702) 722-6030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17729NVMDPharmacist
48628AZMDPain Medicine (Physical Medicine & Rehabilitation) Physician
42982IAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goodwin Elite Orthobiologics and Wellness PLLC CurrentSince Jan 1, 2022 Accepting new patients
Integrative Sports and Spine Inc Pain Medicine CurrentSince Nov 14, 2022 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 325
Henderson, NV 89074
Phone (702) 454-0201

2350 Ione Rd
Las Vegas, NV 89183
Phone (702) 339-7149

Organizations & group practices 3

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": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1275851792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N GREEN VALLEY PKWY STE 325",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746393",
            "telephone_number": "702-722-6030",
            "fax_number": "702-776-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N GREEN VALLEY PKWY STE 325",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746393",
            "telephone_number": "702-722-6030",
            "fax_number": "702-776-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "JOSHUA",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "17729",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "48628",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "AZ",
            "license": "48628",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IA",
            "license": "42982",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NV",
            "license": "17729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.