Individual provider Active NPI

Margaret E Goodman, MD

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1689780074
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
NV5747 Issued in NV
Practice address
8551 W Lake Mead Blvd
Ste 250
Las Vegas, NV 89128-7649
Phone
(702) 255-8785
Fax
(702) 255-8420
NPI assigned
Aug 21, 2006
Last updated
May 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NV5747 NV Primary

Addresses

Primary practice location

8551 W Lake Mead Blvd
Ste 250
Las Vegas, NV 89128-7649

Mailing address

8551 W. Lake Mead Blvd.
Ste: 250
Las Vegas, NV 89128-7649
Phone (702) 255-8785

Other identifiers 1

IdentifierTypeStateIssuer
002002521MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000600 NV Practitioner - Neurology 5698765014 Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NV5747NVMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1689780074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 W. LAKE MEAD BLVD.",
            "address_2": "STE: 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287649",
            "telephone_number": "702-255-8785",
            "fax_number": "702-255-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 W LAKE MEAD BLVD",
            "address_2": "STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287649",
            "telephone_number": "702-255-8785",
            "fax_number": "702-255-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MARGARET",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "NV5747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002521",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.