Active NPI
Jordana R Goldman, M.D.
- Pediatric Critical Care Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- N9452
- Practice address
- 6621 Fannin St
W6-006
Houston, TX 77030-2303 - Phone
- (832) 824-6230
- NPI assigned
- Jun 9, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | N9452 | TX | Primary |
Addresses
Primary practice location
6621 Fannin St
W6-006
Houston, TX 77030-2303
Mailing address
2222 Maroneal St
Unit 1142
Houston, TX 77030
Phone (224) 628-8549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N9452 | TX | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magella Medical Associates Billing, Inc. | Current | Accepting new patients | |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients | |
| Texas Children's Physician Group | Past | Accepting new patients |
Locations
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
815 Market St
Galveston, TX 77550
Phone (409) 770-6600
11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501
6621 Fannin St
Ste W6006
Houston, TX 77030
Phone (832) 826-2451
100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400
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 and National Provider Directory roles.
-
dba Magella Medical Associates
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
-
dba Methodist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1427342229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 MARONEAL ST",
"address_2": "UNIT 1142",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "224-628-8549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6621 FANNIN ST",
"address_2": "W6-006",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302303",
"telephone_number": "832-824-6230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "JORDANA",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "N9452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Rysse Bayer Goldfarb, CCC-SLP
- Steven Ramon Goldhoff, P.A.-C
- Kimberly Goldie Staines, OTR, CHT
- Alica M Goldman, M.D.
- Jillian Marie Goldman
- Matthew Jordan Goldman
- Phillip Goldman
- Stanford M Goldman, M.D.
- Steven David Goldman, CRNA
- Goldmind Home Care Services LLC (Goldmind Home Healthcare Provider Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.