D G Reliable Anesthesia PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

01041200 Issued in IN

Legal business name

D G RELIABLE ANESTHESIA PC

Practice address

800 Lincolnway
Suite 301
La Porte, IN 46350-3439

Phone

(219) 324-2229

Fax

(219) 324-2229

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dale A Goodman, MD

Title

Owner

Phone

(219) 324-2229

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1487824231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LINCOLNWAY",
            "address_2": "SUITE 301",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503439",
            "telephone_number": "219-324-2229",
            "fax_number": "219-324-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LINCOLNWAY",
            "address_2": "SUITE 301",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503439",
            "telephone_number": "219-324-2229",
            "fax_number": "219-324-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D G RELIABLE ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-324-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01041200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100165370",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Corder, PHARMD
• Walter R Corder II, FNP-C
• James T Cornwell, MD
• Bryn Nicole Cothran
• Gail A Crawford, LCSW
• Dars Transportation
• Stephanie Daube, PT
• David S. Mendelowitz MD Surgery PC
• Katherine Elizabeth Davis, OTR
• Christopher Demattio

• Specialist in La Porte, IN
• Providers in La Porte, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.