Active NPI
Steven E Goodwiller MD PA
- Orthopaedic Surgery Physician
- Panama City, FL
National Provider Identifier
1346273166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME0050344
- Legal business name
- STEVEN E GOODWILLER MD PA
- Practice address
- 402 W 19TH Street
Panama City, FL 32405-4651 - Phone
- (850) 763-6179
- Fax
- (850) 763-0412
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Everett Goodwiller, MD
- Title
- President
- Phone
- (850) 763-6179
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME0050344 | FL | Primary |
Addresses
Primary practice location
402 W 19TH Street
Panama City, FL 32405-4651
Mailing address
402 W 19TH Street
Panama City, FL 32405-4651
Phone (850) 763-6179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110314000129 | FL | Part B Supplier - Clinic/Group Practice | 9830218635 |
Receives reassigned benefits from 1 practitioner Practice locations: Panama City, FL |
National Provider Directory
National Provider DirectoryLocations
402 W 19th St
Panama City, FL 32405
Phone (850) 763-6179
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Panama City, FL
- NPI 1922027952
FL, Orthopaedic Surgery
-
- Physician Assistant
- Panama City Beach, FL
- NPI 1699734095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205971200000",
"number": "1346273166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 W 19TH STREET",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054651",
"telephone_number": "850-763-6179",
"fax_number": "850-763-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 W 19TH STREET",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054651",
"telephone_number": "850-763-6179",
"fax_number": "850-763-0412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN E GOODWILLER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2008-03-20",
"status": "A",
"authorized_official_last_name": "GOODWILLER",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "EVERETT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "850-763-6179",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME0050344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.