Robin Thad Goodwin, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME0037950 Issued in FL

Practice address

1510 Royal Palm Square Blvd
Ste 106
Fort Myers, FL 33919-1068

Phone

(239) 939-3937

Fax

(239) 275-8045

NPI assigned

Aug 16, 2005

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Robert M Mandelkorn, M.D., Inc.

  • Ophthalmology Physician
  • Fort Myers, FL
  • NPI 1871807420
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1558353748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 ROYAL PALM SQUARE BLVD",
            "address_2": "STE 106",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191068",
            "telephone_number": "239-939-3937",
            "fax_number": "239-275-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 ROYAL PALM SQUARE BLVD",
            "address_2": "STE 106",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191068",
            "telephone_number": "239-939-3937",
            "fax_number": "239-275-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ROBIN",
        "middle_name": "THAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0037950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042931700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Caroline Goodman, PHARMD, RPH
• Elizabeth Goodman
• Tim Goodman
• Goodwill Industries of Southwest Florida Inc.
• Andrew Goodwin
• Maya Gopi, APRN
• Lalchan Gopie
• Nikola E Goranov, D.M.D.
• Alexis Gordon
• Nadine Elizabeth Gordon, NP

• Ophthalmology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.