Organization Active NPI

Goodrum Medical Services LLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Ashland, OR
National Provider Identifier
1689281867
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
GOODRUM MEDICAL SERVICES LLC
Practice address
1806 Ashland St
Ashland, OR 97520-2331
Phone
(724) 350-4609
NPI assigned
Sep 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Dr. Joshua Goodrum, DO
Title
Physician
Phone
(727) 350-4609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

1806 Ashland St
Ashland, OR 97520-2331

Mailing address

2280 Old Highway 99 S
Ashland, OR 97520-8738
Phone (727) 350-4609

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1689281867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 OLD HIGHWAY 99 S",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975208738",
            "telephone_number": "727-350-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 ASHLAND ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202331",
            "telephone_number": "724-350-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODRUM MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "GOODRUM",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-350-4609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.