Active NPI
Allan M. Goodwin, M.D.
- Rheumatology Physician
- Naples, FL
National Provider Identifier
1326090929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- FLME0041241
- Practice address
- 6101 Pine Ridge Rd
Naples, FL 34119-3900 - Phone
- (239) 348-4048
- Fax
- (239) 348-4178
- NPI assigned
- May 16, 2006
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | FLME0041241 | FL | Primary |
Addresses
Primary practice location
6101 Pine Ridge Rd
Naples, FL 34119-3900
Mailing address
PO Box 11392
Belfast, ME 04915-4004
Phone (866) 949-1433
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267967100 | Medicaid | FL | |
| 81369Y | Other | FL | MEDICARE PTAN |
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 |
|---|---|---|---|
| FLME0041241 | FL | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1326090929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11392",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154004",
"telephone_number": "866-949-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 PINE RIDGE RD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341193900",
"telephone_number": "239-348-4048",
"fax_number": "239-348-4178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "ALLAN",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "FLME0041241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267967100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "81369Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.