Active NPI
Marie Darcy Goodman, PA-C
- Physician Assistant
- Annapolis, MD
National Provider Identifier
1619194701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0000947
- Practice address
- 193 Green Street
Annapolis, MD 21401 - Phone
- (410) 268-3627
- NPI assigned
- Apr 19, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0000947 | MD | Primary |
Addresses
Primary practice location
193 Green Street
Annapolis, MD 21401
Mailing address
59 Amos Garrett Blvd
Annapolis, MD 21401
Phone (443) 949-7378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0000947 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven Remsen, MD PA | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Emergency Medicine Physician
- Lanham, MD
- NPI 1346297124
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619194701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 AMOS GARRETT BLVD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "21401",
"telephone_number": "443-949-7378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 GREEN STREET",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "21401",
"telephone_number": "410-268-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "MARIE",
"middle_name": "DARCY",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0000947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.