Active NPI
Carol Ann Goodman MD LLC
- Family Medicine Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CAROL ANN GOODMAN MD LLC
- Practice address
- 1909 W Franklin St
Evansville, IN 47712-5110 - Phone
- (812) 456-9736
- Fax
- (812) 456-0140
- NPI assigned
- Jan 21, 2011
- Last updated
- Mar 23, 2023
- 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
- Carol Ann Goodman, MD
- Title
- MD
- Phone
- (812) 456-9736
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1909 W Franklin St
Evansville, IN 47712-5110
Mailing address
1909 W Franklin St
Evansville, IN 47712-5110
Phone (812) 456-9736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2020255 | Carol Ann Goodman LLC | Provider-performed microscopy | Feb 14, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Evansville, IN
- NPI 1629052386
-
- Family Medicine Physician
- Evansville, IN
- NPI 1295725943
-
- Nurse Practitioner
- Newburgh, IN
- NPI 1770021107
-
- Physician Assistant
- Newburgh, IN
- NPI 1588083778
-
- Nurse Practitioner
- Princeton, IN
- NPI 1831191030
-
- Nurse Practitioner
- Evansville, IN
- NPI 1538505458
-
- Family Medicine Physician
- Evansville, IN
- NPI 1205843828
-
- Family Nurse Practitioner
- Evansville, IN
- NPI 1740955137
-
- Nurse Practitioner
- Evansville, IN
- NPI 1003311309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679529600000",
"number": "1366747347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 W FRANKLIN ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477125110",
"telephone_number": "812-456-9736",
"fax_number": "812-456-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 W FRANKLIN ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477125110",
"telephone_number": "812-456-9736",
"fax_number": "812-456-0140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROL ANN GOODMAN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-21",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "812-456-9736",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.