Active NPI
Henry C Goodman, MD
- Neurology Physician
- Ashland, KY
National Provider Identifier
1346242153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 23890
- Practice address
- 2301 Lexington Ave
Suite 300
Ashland, KY 41101-2873 - Phone
- (606) 329-2823
- Fax
- (606) 324-6291
- NPI assigned
- Aug 11, 2005
- Last updated
- Jan 8, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 23890 | KY | Primary |
| Neurology Physician | 2084N0400X | 35045570 | OH |
Addresses
Primary practice location
2301 Lexington Ave
Suite 300
Ashland, KY 41101-2873
Mailing address
2301 Lexington Ave
Suite 300
Ashland, KY 41101-2873
Phone (606) 329-2823
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64238900 | Medicaid | KY | |
| 0439869 | Medicaid | OH |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spero Health of Ohio, LLC | Past | Accepting new patients | |
| Caudill & Van Voorhis, Inc. | Neurology | Past | Accepting new patients |
| Carver Health Care Services, Inc. | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262908800000",
"number": "1346242153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 LEXINGTON AVE",
"address_2": "SUITE 300",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012873",
"telephone_number": "606-329-2823",
"fax_number": "606-324-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 LEXINGTON AVE",
"address_2": "SUITE 300",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012873",
"telephone_number": "606-329-2823",
"fax_number": "606-324-6291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "HENRY",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2010-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KY",
"license": "23890",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35045570",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64238900",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0439869",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.