Active NPI
Jeffrey M Goodloe, M.D.
- Emergency Medicine Physician
- Tulsa, OK
National Provider Identifier
1285610428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- K5965
- Practice address
- 1145 S Utica Ave
6TH Floor - Ou Dept of Emergency Medicine
Tulsa, OK 74104-4000 - Phone
- (918) 660-3822
- NPI assigned
- Dec 20, 2005
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | K5965 | TX | Primary |
Addresses
Primary practice location
1145 S Utica Ave
6TH Floor - Ou Dept of Emergency Medicine
Tulsa, OK 74104-4000
Mailing address
1145 S. Utica Ave, 6TH Floor
University of Oklahoma Department of Emergency Medicine
Tulsa, OK 74104
Phone (918) 660-3822
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89933K | Other | TX | BCBS |
| 930072620 | Other | TX | MEDICARE RAILROAD |
| 118705601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.83 of 100
- Quality
- 81.24
- Promoting interoperability
- 100
- Improvement activities
- 40
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Country Emergency Physicians Group of Tulsa PLLC | Emergency Medicine | Current | Accepting new patients |
| Waterloo Med Co | Emergency Medicine | Past | Accepting new patients |
| Questcare Medical Services PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Tulsa County, LLC | Emergency Medicine | Past | Accepting new patients |
| Ahs Hillcrest Medical Center, LLC | Past | Accepting new patients |
Locations
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1972698553
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1588964662
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1003098773
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1306893128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1285610428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 S. UTICA AVE, 6TH FLOOR",
"address_2": "UNIVERSITY OF OKLAHOMA DEPARTMENT OF EMERGENCY MEDICINE",
"city": "TULSA",
"state": "OK",
"postal_code": "74104",
"telephone_number": "918-660-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 S UTICA AVE",
"address_2": "6TH FLOOR - OU DEPT OF EMERGENCY MEDICINE",
"city": "TULSA",
"state": "OK",
"postal_code": "741044000",
"telephone_number": "918-660-3822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODLOE",
"first_name": "JEFFREY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "K5965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89933K",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930072620",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118705601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.