Active NPI
Michael E. Goodrich, M.D.
- Neurology Physician
- Oklahoma City, OK
National Provider Identifier
1285683839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 10876
- Practice address
- 4140 W Memorial Rd
Suite 601
Oklahoma City, OK 73120-8366 - Phone
- (405) 486-8041
- Fax
- (405) 486-8044
- NPI assigned
- May 10, 2006
- Last updated
- Aug 31, 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 10876 | OK | Primary |
Addresses
Primary practice location
4140 W Memorial Rd
Suite 601
Oklahoma City, OK 73120-8366
Mailing address
4140 W Memorial Rd
Suite 601
Oklahoma City, OK 73120-8366
Phone (405) 486-8041
Other names 1
- Dr. M. E. Goodrich
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 |
|---|---|---|---|
| 10876 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1285683839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W MEMORIAL RD",
"address_2": "SUITE 601",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208366",
"telephone_number": "405-486-8041",
"fax_number": "405-486-8044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 W MEMORIAL RD",
"address_2": "SUITE 601",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208366",
"telephone_number": "405-486-8041",
"fax_number": "405-486-8044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODRICH",
"first_name": "MICHAEL",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OK",
"license": "10876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "M.",
"last_name": "GOODRICH",
"middle_name": "E.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.