Johnathan David Goodwin, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

E9623 Issued in AR

Practice address

3401 Springhill Dr
Suite 400
North Little Rock, AR 72117

Phone

(501) 945-3343

Fax

(501) 945-0770

NPI assigned

Jun 26, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Gastroenterology

Education

University of Texas Southwestern Medical School at Dallas, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastro Clinics of Arkansas PLLCGroup PAC ID 5496983363, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114

Merit-based Incentive Payment System (MIPS)

Final score

94.28 of 100Reported as group

Quality

88.57

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gastro Clinics of Arkansas, PLLC

  • Specialist
  • North Little Rock, AR
  • NPI 1972944064
  Medicare reassignment Care Compare group
• NLR Gi Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • North Little Rock, AR
  • NPI 1518536234
  NPD Authorized official
• Arkansas Gastroenterology

  • Specialist
  • North Little Rock, AR
  • NPI 1952358657

  Gastroenterology

  NPD (past)
• Gastroenterology Associates PA

  • Specialist
  • Little Rock, AR
  • NPI 1851395792
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• Baptist Health

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1497790042
  Care Compare affiliation

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1295963379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DR",
            "address_2": "SUITE 400",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72117",
            "telephone_number": "501-945-3343",
            "fax_number": "501-945-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DR",
            "address_2": "SUITE 400",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72117",
            "telephone_number": "501-945-3343",
            "fax_number": "501-945-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "JOHNATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2011036079",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "E9623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teddy E Gonzales
• Holly Leann Gonzalez, OTR/L
• Jovani Gonzalez
• Sonia Gonzalez
• Evelyn Goodman
• Lindsey Goodwin
• Matthew Elton Goodwin, MD
• Megen Graddy
• Lori F. Graham, LCSW
• Paula Irene Graham, MD

• Gastroenterology Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Gastroenterology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.

Verify at the official NPI Registry.