Dale A. Goodman, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

01041200 Issued in IN

Practice address

1007 Lincolnway
La Porte, IN 46350-3201

Phone

(219) 326-1234

NPI assigned

Oct 3, 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 3

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Anesthesiology

Education

Ohio State University College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Porte County Anesthesia Associates, LLCGroup PAC ID 4688633241, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dgoodman386550@direct.franciscanalliance.org

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.

• La Porte County Anesthesia Associates LLC

  • Anesthesiology Physician
  • Michigan City, IN
  • NPI 1477553634

  Anesthesiology, IN

  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of Laporte PC

  • Anesthesiology Physician
  • La Porte, IN
  • NPI 1235455429

  Anesthesiology, IN

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franciscan Health Michigan City

  • General Acute Care Hospital
  • La Porte, IN
  • NPI 1679336747

  Hospital

  Care Compare affiliation
• Franciscan Health Michigan City

  • General Acute Care Hospital
  • Michigan City, IN
  • NPI 1710051941

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1518052158",
    "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": "463503438",
            "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": "1007 LINCOLNWAY",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503201",
            "telephone_number": "219-326-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "DALE",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01041200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000191669",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER NUMBER",
            "identifier": "050027208",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100165370A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Nicole Georgion, PHARM D, BSPS, BS, B
• Rachel Gerick
• Anika Gnaedinger
• Richard J Gnaedinger, M.D.
• Michael Gnezda, DDS
• Sarah Ann Gore, DNP, APRN, FNP-BC
• David J Gorecki, MD
• Robert Mark Grace, DDS
• Susan K Grace, NP
• James Lewis Grainger, M.D.

• All providers in La Porte, IN
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.

Verify at the official NPI Registry.