Individual provider Active NPI

Marsha Eileen Goodhead, MD

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1437119435
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4023 Issued in NV
Practice address
3201 S Maryland Pkwy
Suite 205
Las Vegas, NV 89109
Phone
(702) 731-4215
Fax
(702) 369-9843
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4023 NV Primary

Addresses

Primary practice location

3201 S Maryland Pkwy
Suite 205
Las Vegas, NV 89109

Mailing address

3201 S Maryland Pkwy
Las Vegas, NV 89109-2424
Phone (702) 731-4215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040417000635 NV Practitioner - Obstetrics/Gynecology 5991790073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3201 S Maryland Pkwy
Suite 205
Las Vegas, NV 89109-2424
Phone (702) 731-4215

Hospital & facility affiliations

  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Marsha E Goodhead MD PC CurrentSince Aug 22, 1980 Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Sunrise Physician Services LLC Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

3201 S Maryland Pkwy
Ste 205
Las Vegas, NV 89109
Phone (702) 731-4215

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1437119435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092424",
            "telephone_number": "702-731-4215",
            "fax_number": "702-369-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY",
            "address_2": "SUITE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89109",
            "telephone_number": "702-731-4215",
            "fax_number": "702-369-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODHEAD",
        "first_name": "MARSHA",
        "middle_name": "EILEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "4023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.