G P Goodfried MD PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00823 Issued in TX

Legal business name

G P GOODFRIED MD PA

Practice address

1905 S Donnybrook Ave
Tyler, TX 75701-4236

Phone

(903) 597-3140

Fax

(903) 595-5693

NPI assigned

May 1, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary Paul Goodfried, MD

Title

Orthopedic Surgeon/Owner

Phone

(903) 597-5798

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1639313851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 S DONNYBROOK AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014236",
            "telephone_number": "903-597-3140",
            "fax_number": "903-595-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 S DONNYBROOK AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014236",
            "telephone_number": "903-597-3140",
            "fax_number": "903-595-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G P GOODFRIED MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "GOODFRIED",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON/OWNER",
        "authorized_official_telephone_number": "903-597-5798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "F1592",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buddy D Furqueron, DDS
• Diana Furr
• Rhea K. Furrh, C.O.T.
• Natalie Ann Fylstra, APRN, WHNP
• Fyzical Therapy & Balance Center Tyler PLLC
• Amanda Gaar, OTR
• Amy Gaddis
• John Gaddis
• Justin Gaddis, CRNA
• Howell R Gaddy, MD

• Physician Assistant in Tyler, TX
• Providers in Tyler, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.