Robert L. Goodman, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

44739 Issued in MA

Practice address

66 Morgan Rd
West Springfield, MA 01089-1410

Phone

(413) 781-1576

Fax

(413) 785-1812

NPI assigned

Sep 23, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487754156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1163",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010901163",
            "telephone_number": "413-781-1576",
            "fax_number": "413-785-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MORGAN RD",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891410",
            "telephone_number": "413-781-1576",
            "fax_number": "413-785-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "44739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2079585",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nataly Gomez
• Thaddeus Alphonse Gomulka, BA
• Christina M Goncalves, P.T.
• Good Day Therapy LLC
• Evan-Quin M Goodermote
• James R. Goodwin III, M.A.
• Marjorie Ann Goodwin, RN-PC MA
• Mary Gorski, PA-C, MA
• Angelie Gotay
• Michael John Gousy, OD

• Vascular Surgery Physician in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Vascular Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.