Organization Active NPI

Thomas Perry Goodell, MD, PC

  • Family Medicine Physician
  • Laramie, WY
National Provider Identifier
1366539686
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THOMAS PERRY GOODELL, MD, PC
Practice address
3810 E Grand Ave Ste B
Laramie, WY 82070-5181
Phone
(307) 742-9940
Fax
(307) 742-9946
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas Perry Goodell, M.D.NPI 1639266950
Title
President
Phone
(307) 742-9940

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3810 E Grand Ave Ste B
Laramie, WY 82070-5181

Mailing address

3810 E Grand Ave Ste B
Laramie, WY 82070-5181
Phone (307) 742-9940

National Provider Directory

National Provider Directory

Locations

3810 E Grand Ave
Ste B
Laramie, WY 82070
Phone (307) 742-9940

3810 E Grand Ave
Laramie, WY 82070
Phone (307) 721-1794

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366539686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 E GRAND AVE STE B",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705181",
            "telephone_number": "307-742-9940",
            "fax_number": "307-742-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 E GRAND AVE STE B",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705181",
            "telephone_number": "307-742-9940",
            "fax_number": "307-742-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS PERRY GOODELL, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-742-9940",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.