Active NPI
Annie Gao Goodwin, M.D.
- Pediatric Gastroenterology Physician
- Webster, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- Q8480
- Practice address
- 250 Blossom St
FL 4
Webster, TX 77598-4204 - Phone
- (409) 772-3695
- Fax
- (832) 632-7866
- NPI assigned
- Apr 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Q8480 | TX | |
| Pediatric Gastroenterology Physician | 2080P0206X | 25680 | NH | |
| Pediatric Gastroenterology Physician | 2080P0206X | Q8480 | TX | Primary |
Addresses
Primary practice location
250 Blossom St
FL 4
Webster, TX 77598-4204
Mailing address
12901 Bruce B Downs Blvd
MDC 41
Tampa, FL 33612-4742
Other practice location 1
12901 Bruce B Downs Blvd
MDC 41
Tampa, FL 33612-4742
Phone (813) 259-8725
Other practice location 2
1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000
Other practice location 3
100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25680 | NH | MD | Pediatric Gastroenterology Physician |
| Q8480 | TX | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Pediatrics | Current | Accepting new patients |
| Utmb Faculty Group Practice | Pediatrics | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| University of Texas Medical Branch at Galveston | Past | Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
250 Blossom St
Fl 4
Webster, TX 77598
Phone (409) 772-3695
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
-
- Community/Retail Pharmacy
- Friendswood, TX
- NPI 1699532861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1588907166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12901 BRUCE B DOWNS BLVD",
"address_2": "MDC 41",
"city": "TAMPA",
"state": "FL",
"postal_code": "336124742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BLOSSOM ST",
"address_2": "FL 4",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984204",
"telephone_number": "409-772-3695",
"fax_number": "832-632-7866"
}
],
"practiceLocations": [
{
"address_1": "12901 Bruce B Downs Blvd",
"address_2": "MDC 41",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336124742",
"country_code": "US",
"telephone_number": "813-259-8725",
"fax_number": "813-259-8847",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037560001",
"country_code": "US",
"telephone_number": "603-650-5000",
"fax_number": "603-640-1228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Hitchcock Way",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031044125",
"country_code": "US",
"telephone_number": "603-695-2500",
"fax_number": "603-640-1228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODWIN",
"first_name": "ANNIE",
"middle_name": "GAO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-01",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q8480",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NH",
"license": "25680",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "TX",
"license": "Q8480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.