Active NPI
Christie W Gooden, MD
- Transplant Surgery Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- 075209
- Practice address
- 1411 N. Beckley Ave.
Pavilion III Suite 268
Dallas, TX 75203 - Phone
- (214) 947-4400
- Fax
- (214) 947-4404
- NPI assigned
- May 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 075209 | GA | Primary |
| Surgery Physician | 208600000X | R4048 | TX |
Addresses
Primary practice location
1411 N. Beckley Ave.
Pavilion III Suite 268
Dallas, TX 75203
Mailing address
1411 N. Beckley Ave.
Pavilion III Suite 268
Dallas, TX 75203
Phone (214) 947-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Tulane University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1411 N Beckley Ave
Suite 268
Dallas, TX 75203-1260
Phone (214) 947-4400
Hospital & facility affiliations
- Methodist Dallas Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075209 | GA | MD | Transplant Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Methodist Hospitals of Dallas | Past | Accepting new patients | |
| Advanced Pain & Rehabilitation Association PLLC | Past | Accepting new patients |
Locations
6833 Plum Creek Dr
Amarillo, TX 79124
Phone (806) 467-1895
1441 N Beckley Ave
Ste 438
Dallas, TX 75203
1411 N Beckley Ave
Ste 268
Dallas, TX 75203
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700
Interoperability endpoints
- cgooden246741@dm.mhd.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1679788947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N. BECKLEY AVE.",
"address_2": "PAVILION III SUITE 268",
"city": "DALLAS",
"state": "TX",
"postal_code": "75203",
"telephone_number": "214-947-4400",
"fax_number": "214-947-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N. BECKLEY AVE.",
"address_2": "PAVILION III SUITE 268",
"city": "DALLAS",
"state": "TX",
"postal_code": "75203",
"telephone_number": "214-947-4400",
"fax_number": "214-947-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODEN",
"first_name": "CHRISTIE",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "GA",
"license": "075209",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "R4048",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.