Active NPI
Valerie Ellen Goodman, DO
- Family Medicine Physician
- Centreville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H57821
- Practice address
- 2540 Centreville Rd
Centreville, MD 21617-2681 - Phone
- (410) 758-4432
- Fax
- (410) 758-1938
- NPI assigned
- Apr 10, 2006
- Last updated
- Sep 6, 2017
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H57821 | MD | Primary |
Addresses
Primary practice location
2540 Centreville Rd
Centreville, MD 21617-2681
Mailing address
1400 Front Avenue
Suite 300
Lutherville, MD 21093
Phone (410) 296-7190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11804 Reisterstown Rd
Reisterstown, MD 21136-3311
Phone (410) 870-5094
14421 Baltimore Ave
Laurel, MD 20707-4949
Phone (240) 786-6684
28522 Marlboro Ave
Suite C
Easton, MD 21601-2792
Phone (443) 746-0086
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umms Ambulatory Care LLC | Current | Accepting new patients | |
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Umms Ambulatory Care LLC | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| CRH MD Management LLC | Current | Accepting new patients | |
| CRH MD Management LLC | Current | Accepting new patients | |
| Umms Ambulatory Care LLC | Current | Accepting new patients | |
| CRH MD Management, LLC | Current | Accepting new patients | |
| Christiana Care Quality Partners | Past | Accepting new patients |
Locations
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
590 Lanier Ave W
Fayetteville, GA 30214
744 S Philadelphia Blvd
Ste B
Aberdeen, MD 21001
Phone (443) 345-2650
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300
8 Denton Plz
#1
Denton, MD 21629
Phone (443) 606-2300
1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756
28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086
2315 Bel Air Rd
Ste C1
Fallston, MD 21047
Phone (443) 966-3900
14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684
14421 Baltimore Ave
#12202
Laurel, MD 20707
Phone (240) 786-6684
11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094
14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800
Interoperability endpoints
- valerie.goodman.1@30520.direct.athenahealth.com
Organizations & group practices 10
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.
-
dba Patriot Urgent Care
- Urgent Care Clinic/Center
- Reisterstown, MD
- NPI 1598435059
DC
-
dba University of Maryland Urgent Care-Denton
- Urgent Care Clinic/Center
- Denton, MD
- NPI 1487251997
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1578598868
-
dba ChristianaCare GoHealth Urgent Care
- Urgent Care Clinic/Center
- Newark, DE
- NPI 1164061867
MD
-
dba Patriot Urgent Care
- Urgent Care Clinic/Center
- Fort Washington, MD
- NPI 1841072477
-
dba JHCP- 6225 Smith Avenue; Mental Health Therapy
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
-
dba University of Maryland Urgent Care-Belvedere
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1275130775
-
dba University of Maryland Urgent Care- Glen Burnie
- Urgent Care Clinic/Center
- Glen Burnie, MD
- NPI 1801651674
-
dba ChristianaCare GoHealth Urgent Care
- Urgent Care Clinic/Center
- Wilmington, DE
- NPI 1881367332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504656000000",
"number": "1659334852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 FRONT AVENUE",
"address_2": "SUITE 300",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "21093",
"telephone_number": "410-296-7190",
"fax_number": "443-991-7768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 CENTREVILLE RD",
"city": "CENTREVILLE",
"state": "MD",
"postal_code": "216172681",
"telephone_number": "410-758-4432",
"fax_number": "410-758-1938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "VALERIE",
"middle_name": "ELLEN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2017-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "H57821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centreville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.