Active NPI
David Goodman, DPM
- Foot & Ankle Surgery Podiatrist
- Fort Carson, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD001355
- Practice address
- 1650 Cochrane Cir
Fort Carson, CO 80913-4613 - Phone
- (719) 526-7000
- NPI assigned
- Dec 16, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD001355 | GA | Primary |
Addresses
Primary practice location
1650 Cochrane Cir
Fort Carson, CO 80913-4613
Mailing address
2005 Rock Ave
Fayetteville, NC 28303-7013
Phone (661) 549-8770
Other practice location 1
2817 Reilly St
Fort Bragg, NC 28310-7324
Phone (910) 907-6784
Other practice location 2
6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Phone (762) 408-1375
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: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12070 Old Line Ctr
Suite 110
Waldorf, MD 20602-2503
Phone (301) 843-9581
9135 Piscataway Rd
Suite 235
Clinton, MD 20735-2572
Phone (301) 868-3899
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 50 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1877 |
| Removal or shaving of skin growth | 996 |
| Skin biopsy | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Maryland Foot and Ankle LLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
23415 Three Notch Rd
Ste 2054
California, MD 20619
Phone (301) 690-6044
9135 Piscataway Rd
Ste 235
Clinton, MD 20735
Phone (301) 868-8291
12070 Old Line Ctr
Ste 110
Waldorf, MD 20602
Phone (301) 638-0021
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1700284221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 ROCK AVE",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283037013",
"telephone_number": "661-549-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134613",
"telephone_number": "719-526-7000"
}
],
"practiceLocations": [
{
"address_1": "2817 Reilly St",
"address_purpose": "LOCATION",
"city": "Fort Bragg",
"state": "NC",
"postal_code": "283107324",
"country_code": "US",
"telephone_number": "910-907-6784",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6600 Van Aalst Blvd",
"address_purpose": "LOCATION",
"city": "Fort Benning",
"state": "GA",
"postal_code": "319052102",
"country_code": "US",
"telephone_number": "762-408-1375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODMAN",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-16",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "POD001355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.