Ronald M. Goodman, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS14582 Issued in FL

Practice address

405 Silverside Rd
Wilmington, DE 19809-1774

Phone

(302) 798-0666

Fax

(302) 798-2401

NPI assigned

Jul 1, 2005

Last updated

Oct 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/28224/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Total Care Physicians, P.a.

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1164477451
  Medicare reassignment NPD Authorized official
• Delaware Sleep Disorder Centers, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Lewes, DE
  • NPI 1265241368
  NPD (past)
• Koniver Fiss Mansoory MD PA

  dba Papastavros Associates Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Wilmington, DE
  • NPI 1083615561
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1285631515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091774",
            "telephone_number": "302-798-0666",
            "fax_number": "302-798-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091774",
            "telephone_number": "302-798-0666",
            "fax_number": "302-798-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "RONALD",
        "middle_name": "M.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0000959",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000182903",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101578600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie A.. Gonzalez, RN
• Lisa Hope Goodfriend, MPT, CWS, FCCWS
• Frederick Wayne Gooding Sr., M.D.
• Garrett Goodling, DDS
• Peter Robert Goodman, L.C.S.W., B.C.D.
• Camille A. Goodspeed, DO
• Goodwill Industries of Delaware & Delaware County Inc
• James L Goodwill III, DDS
• Steven Thomas Goodwin, DPT
• Inga Nykole Goodwine

• Family Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.