Active NPI
Christopher Goodrich, M.D.
- Physical Medicine & Rehabilitation Physician
- Jacksonville, FL
National Provider Identifier
1346652831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD190407
- Practice address
- 9428 Baymeadows Rd Ste 502
Jacksonville, FL 32256-7973 - Phone
- (646) 863-1411
- NPI assigned
- Jun 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD190407 | OR | Primary |
Addresses
Primary practice location
9428 Baymeadows Rd Ste 502
Jacksonville, FL 32256-7973
Mailing address
5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Phone (646) 863-1411
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1346652831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 BUCKEYSTOWN PIKE STE 250",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217048344",
"telephone_number": "646-863-1411",
"fax_number": "516-864-4618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9428 BAYMEADOWS RD STE 502",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567973",
"telephone_number": "646-863-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODRICH",
"first_name": "CHRISTOPHER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-02",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "OR",
"license": "MD190407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.