Herbert D Goodman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7607 Issued in AZ

Practice address

11045 N 19TH Ave
Phoenix, AZ 85029-4816

Phone

(602) 944-4474

Fax

(602) 943-7829

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Desert Pain and Rehab Specialists

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Phoenix, AZ
  • NPI 1457416414
  NPD Authorized official
• Desert Pain and Rehab Specialists, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Sierra Vista, AZ
  • NPI 1144712191
  NPD Authorized official
• HGL Corporation

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1134289978
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1346258472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6726 E MONTECITO AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512337",
            "telephone_number": "480-994-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11045 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294816",
            "telephone_number": "602-944-4474",
            "fax_number": "602-943-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "HERBERT",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "7607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267246001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolinie Ellen Goodman, R.D.
• Darla Kathleen Goodman, M.S. OTR/L
• Emily Goodman, MD
• Estella Dawn Goodman
• Gary Neal Goodman, PH.D.
• Jessica M Goodman, PT
• Leigh Anne Goodman, DO
• Megan Goodman, PA-C
• Mina Ariella Goodman, RD
• Nicholas Grant Goodman, P.A.

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.