Active NPI
Joshua James Goodwin, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 17729
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17729 | NV | MD | Pharmacist |
| 48628 | AZ | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| 42982 | IA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodwin Elite Orthobiologics and Wellness PLLC | Current | Accepting new patients | |
| Integrative Sports and Spine Inc | Pain Medicine | Current | 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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Irvine, CA
- NPI 1245630557
NV
-
dba Regenexx Las Vegas
- Physical Medicine & Rehabilitation Physician
- Henderson, NV
- NPI 1366194862
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
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
- Taryn Nicole Goodman, OTD, OTR/L
- Geoff A. Goodrich, RVT
- Diana Goodsell, ED.S., NCSP
- Lourdes Malia Castro Goodson
- Goodwin Elite Orthobiologics and Wellness PLLC (Regenexx Las Vegas)
- Julia Marie Goodwin, PT, DPT
- Shmela Goodwin
- Yevone Cheiree Goodwin
- Kerry Lee Goral Jr., DPT
- Reesa Stephanie Goravanchi, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.