Charles E Goodell, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

40945 Issued in CO

Practice address

14062 Denver West Pkwy
Ste 150
Lakewood, CO 80401-3109

Phone

(800) 893-9698

Fax

(303) 825-7927

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Indian Creek Medical Group Inc

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1548633670
  Medicare reassignment
• Kenneth H Weisiger MD PC

  • Pulmonary Disease Physician
  • Lakewood, CO
  • NPI 1780611079
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1457301897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14062 DENVER WEST PKWY",
            "address_2": "STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013109",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14062 DENVER WEST PKWY",
            "address_2": "STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013109",
            "telephone_number": "800-893-9698",
            "fax_number": "303-825-7927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Carson Ave",
            "address_purpose": "LOCATION",
            "city": "La Junta",
            "state": "CO",
            "postal_code": "810502751",
            "country_code": "US",
            "telephone_number": "719-845-0280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODELL",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "40945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15805778",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephany Lizbeth Gonzalez, MA, MFTC
• Jennifer Lee Gooch
• Good Needles Acupuncture and Chinese Herbal Medicine
• Good Vibrations Therapies LLC
• David Goodbee, MD
• Nancy L Goodman, LCSW
• Leah Marie Goodrich, MS, OTR/L
• Lisa Michelle Goodwin-Kutchey, LPC
• Melissa R Goody, OTR/L
• Elizabeth Ann Gordon, AU.D., CCC-A

• Emergency Medicine Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.

Verify at the official NPI Registry.