Active NPI
Charles Jeffery Goodwin, M.D.
- Urology Physician
- Jeffersonville, IN
National Provider Identifier
1710001607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 01061089A
- Practice address
- 101 Hospital Blvd
Jeffersonville, IN 47130-3769 - Phone
- (812) 282-3899
- NPI assigned
- Mar 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 01061089A | IN | Primary |
Addresses
Primary practice location
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Mailing address
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01061089A | Other | IN | MEDICAL LICENSE |
| 200913700 | Medicaid | IN | |
| 000000565585 | Other | ANTHEM FACET | |
| 41679 | Other | KY | MEDICAL LICENSE |
| 7100059660 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- 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
- Urology
- Education
- University of Louisville School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899
3 Audubon Plaza Dr
L10
Louisville, KY 40217-1362
Phone (502) 584-0651
300 High Point CT
Mount Washington, KY 40047-6560
Phone (502) 955-6129
3920 S Dupont SQ C
Louisville, KY 40207-4615
Phone (812) 282-3899
5120 Dixie Hwy
Suite 105
Louisville, KY 40216-1775
Phone (812) 282-3899
Hospital & facility affiliations
- Norton Hospitals, Inc
- Baptist Health Floyd
- Physicians' Medical Center LLC
- Norton Clark Hospital
- Harrison County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01061089A | IN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Schneck Memorial Hospital | Current | Accepting new patients | |
| First Urology, PSC | Urology | Past | Accepting new patients |
| Seymour Indiana Pathologists, Inc | Past | Accepting new patients |
Locations
100 N Walnut St
Seymour, IN 47274
Phone (812) 523-5185
200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349
411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505
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.
-
- Anesthesiology Physician
- Seymour, IN
- NPI 1629143037
-
- Urology Physician
- Corydon, IN
- NPI 1235496415
-
- Anatomic Pathology & Clinical Pathology Physician
- Seymour, IN
- NPI 1124237987
Hospital & facility affiliations 21
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
-
- General Acute Care Hospital
- Corydon, IN
- NPI 1427165455
-
- Critical Access Hospital
- Corydon, IN
- NPI 1851378137
-
- General Acute Care Hospital
- Jeffersonville, IN
- NPI 1134186315
-
- General Acute Care Hospital
- New Albany, IN
- NPI 1689857385
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1710001607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HOSPITAL BLVD",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303769",
"telephone_number": "812-282-3899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HOSPITAL BLVD",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303769",
"telephone_number": "812-282-3899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "CHARLES",
"middle_name": "JEFFERY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-18",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "01061089A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "01061089A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200913700",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM FACET",
"identifier": "000000565585",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "41679",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100059660",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.