Organization Active NPI

Steven E Goodwiller MD PA

  • Orthopaedic Surgery Physician
  • Panama City, FL
National Provider Identifier
1346273166
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0050344 Issued in FL
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

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Steven Everett Goodwiller, MDNPI 1922027952
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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.