Active NPI
Steven Goad, MD
- Psychiatry Physician
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01071896A
- Practice address
- 445 S Landmark Ave
Bloomington, IN 47403-5004 - Phone
- (812) 353-3450
- Fax
- (812) 353-3451
- NPI assigned
- Oct 11, 2006
- Last updated
- Nov 14, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2004016667 | MO | |
| Psychiatry Physician | 2084P0800X | 01071896A | IN | Primary |
Addresses
Primary practice location
445 S Landmark Ave
Bloomington, IN 47403-5004
Mailing address
PO Box 1149
Bloomington, IN 47402-1149
Phone (812) 353-3087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201149960 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Virginia School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3901 E 32ND St
Joplin, MO 64804-3312
Phone (417) 347-7600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Center | Current | Accepting new patients | |
| Ozark Center | Current | Accepting new patients | |
| Northeast Michigan Community Mental Health Authority | Past | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, Inc | Past | Accepting new patients |
Locations
3901 E 32nd St
Joplin, MO 64804
Phone (417) 347-7567
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Joplin, MO
- NPI 1790796878
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1548519572
-
- Community/Behavioral Health Agency
- Alpena, MI
- NPI 1144378381
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Freeman Health System
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
Hospital
-
dba Freeman Health System
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1477641421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1149",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474021149",
"telephone_number": "812-353-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 S LANDMARK AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474035004",
"telephone_number": "812-353-3450",
"fax_number": "812-353-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOAD",
"first_name": "STEVEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2004016667",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01071896A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201149960",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.