Active NPI
Paul Goodwyn, MD
- Orthopaedic Surgery Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 59331
- Practice address
- 3126 N Civic Center PLZ
Scottsdale, AZ 85251-6912 - Phone
- (480) 874-2040
- Fax
- (480) 874-2041
- NPI assigned
- Apr 13, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 59331 | AZ | Primary |
Addresses
Primary practice location
3126 N Civic Center PLZ
Scottsdale, AZ 85251-6912
Mailing address
3126 N Civic Center PLZ
Scottsdale, AZ 85251-6912
Phone (480) 874-2040
Other practice location 1
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Peakwood Dr
Suite 5D
Houston, TX 77090-2903
Phone (832) 353-2498
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 21 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 29 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59331 | AZ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Associates of West Houston PLLC | Current | Accepting new patients | |
| Sonoran Orthopaedic Trauma Surgeons | Current | Accepting new patients | |
| Neuro-Hospitalist of Clear Lake, PLLC | Past | Accepting new patients |
Locations
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
3126 N Civic Center Plz
Scottsdale, AZ 85251
Phone (480) 949-2760
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
508 Medical Center Blvd
Ste 360
Conroe, TX 77304
Phone (281) 836-9020
800 Peakwood Dr
Ste 5A
Houston, TX 77090
Phone (281) 836-9020
1140 Business Center Dr
Ste 490
Houston, TX 77043
Phone (713) 932-1247
800 Peakwood Dr
Ste 5D
Houston, TX 77090
Phone (281) 440-3618
22999 Highway 59 N
Ste 405
Kingwood, TX 77339
Phone (281) 571-7508
15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010
Interoperability endpoints
- https://api.platform.athenahealth.com/5564/brand/1/csg/1/fhir/r4
- paul.goodwyn@hca9.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1699062349
-
- Orthopaedic Trauma Physician
- Scottsdale, AZ
- NPI 1952357022
-
- Psychiatry Physician
- Webster, TX
- NPI 1619277183
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conroe Regional Medical Center
- General Acute Care Hospital
- Conroe, TX
- NPI 1962455816
-
dba HCA Houston Healthcare Northwest
- General Acute Care Hospital
- Houston, TX
- NPI 1740450121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1366838666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3126 N CIVIC CENTER PLZ",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516912",
"telephone_number": "480-874-2040",
"fax_number": "480-874-2041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3126 N CIVIC CENTER PLZ",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516912",
"telephone_number": "480-874-2040",
"fax_number": "480-874-2041"
}
],
"practiceLocations": [
{
"address_1": "2211 Lomas Blvd NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871062719",
"country_code": "US",
"telephone_number": "505-272-2111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODWYN",
"first_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-13",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "59331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.