Christopher Marshall Goodman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

43157 Issued in MN

Practice address

23 Country Creek Cir
Saint Cloud, MN 56301-5682

Phone

(320) 255-9832

NPI assigned

Aug 31, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1326150038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 COUNTRY CREEK CIR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015682",
            "telephone_number": "320-255-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 COUNTRY CREEK CIR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015682",
            "telephone_number": "320-255-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "43157",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301051654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136607000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Golembeski
• Raelyn Leona Gonnerman
• Jewelz Gonzalez
• Good Samaritan Assisted Living LLC
• Good to Geaux
• Shawanda Denise Goodman, APRN
• William L Goodmanson, CRNA
• Charles Gordon
• Nicole Mary Gordon, RN
• Shawn Michael Gordon, RPH

• Internal Medicine Physician in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.