Individual provider Active NPI

Margaret Goodman, MD

  • Diagnostic Radiology Physician
  • Utica, NY
National Provider Identifier
1336307537
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
273070 Issued in NY
Practice address
185 Genesee St Ste 600
Utica, NY 13501-2199
Phone
(315) 793-8806
Fax
(215) 793-8046
NPI assigned
May 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35690 AZ
Diagnostic Radiology Physician 2085R0202X 273070 NY Primary

Addresses

Primary practice location

185 Genesee St Ste 600
Utica, NY 13501-2199

Mailing address

185 Genesee St Ste 600
Utica, NY 13501-2199
Phone (520) 404-7212

Other practice location 1

3900 N Camino Ojo De Agua
Tucson, AZ 85749-7819
Phone (520) 404-7212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101119000549 AZ Practitioner - Diagnostic Radiology 4385703263
I20231108000091 AR Practitioner - Diagnostic Radiology 4385703263 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35690AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederica Imaging PC Diagnostic Radiology CurrentSince Sep 21, 2020 Accepting new patients
Einstein Practice Plan Inc CurrentSince Apr 30, 2020 Accepting new patients
Einstein Practice Plan Inc CurrentSince Apr 30, 2020 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Upmc Altoona Regional Health Services, Inc Diagnostic Radiology CurrentSince Feb 8, 2015 Accepting new patients
Lourdes Imaging Associates PA Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Radiologists PA Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

1501 S Waldron Rd
Ste 109
Fort Smith, AR 72903
Phone (479) 242-3310

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1336307537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 GENESEE ST STE 600",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012199",
            "telephone_number": "520-404-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 GENESEE ST STE 600",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012199",
            "telephone_number": "315-793-8806",
            "fax_number": "215-793-8046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 N Camino Ojo De Agua",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857497819",
            "country_code": "US",
            "telephone_number": "520-404-7212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MARGARET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-26",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "35690",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "273070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.