Harley Lee Goodwin, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2008028706 Issued in MO

Practice address

1936 E Sunshine St
Ste B
Springfield, MO 65804-1528

Phone

(417) 812-7576

Fax

(417) 812-7576

NPI assigned

Jun 30, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1528296316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 E SUNSHINE",
            "address_2": "STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-812-7576",
            "fax_number": "417-812-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 E SUNSHINE ST",
            "address_2": "STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041528",
            "telephone_number": "417-812-7576",
            "fax_number": "417-812-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "HARLEY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2008028706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson M. Goodman, MD
• Atosha Goodman
• Samuel Goodman, DC
• Chandra. Renee Goodwin, H.I.S.
• Della Goodwin, LCSW
• Jessica Lindiwe Goodwin, MSN, APRN, FNP-C
• John Wendall Goodwin, MD
• Margaret Goodwin, LCSW
• Paul Goodwin, LCSW
• Monica R Gorcos, MD

• Hearing Instrument Specialist in Springfield, MO
• Providers in Springfield, MO by specialty
• Hearing Instrument Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.