Individual provider Active NPI

Linda Dee Goodman, PA-C, MPAJ.

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1447239447
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1911 Rogers Rd
San Antonio, TX 78251-4614
Phone
(210) 523-9933
Fax
(210) 647-0242
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1911 Rogers Rd
San Antonio, TX 78251-4614

Mailing address

PO Box 760488
San Antonio, TX 78245-0488
Phone (210) 523-9933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Westover Hills Clinic, PA CurrentSince Jun 20, 2017 Accepting new patients
Westover Hills Clinic,PA PastSince Jul 24, 2022 Accepting new patients
First Family Clinic, Inc. Past Accepting new patients

Locations

11212 State Highway 151
Ste 240
San Antonio, TX 78251
Phone (210) 682-9434

1911 Rogers Rd
San Antonio, TX 78251
Phone (210) 523-9933

11212 State Highway 151
Ste 190
San Antonio, TX 78251
Phone (210) 402-6561

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.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447239447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760488",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782450488",
            "telephone_number": "210-523-9933",
            "fax_number": "210-647-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 ROGERS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514614",
            "telephone_number": "210-523-9933",
            "fax_number": "210-647-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "LINDA",
        "middle_name": "DEE",
        "name_prefix": "Ms.",
        "credential": "PA-C, MPAJ.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.