Active NPI
Robert Brock Goodwin, D.O.
- Surgical Critical Care Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 2008-01264
- Practice address
- 6161 S Yale Ave
Tulsa, OK 74136-1902 - Phone
- (918) 494-1805
- NPI assigned
- Jun 19, 2008
- Last updated
- Sep 7, 2010
- 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 | 150288 | NC | |
| Surgical Critical Care Physician | 2086S0102X | 2008-01264 | NC | Primary |
Addresses
Primary practice location
6161 S Yale Ave
Tulsa, OK 74136-1902
Mailing address
6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3347
Phone (918) 488-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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
- Critical Care (Intensivists)
- Education
- Kansas City University of Physicians and Surgeons, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6161 S Yale Ave
Tulsa, OK 74136-1902
6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000
Hospital & facility affiliations
- Saint Francis Hospital, Inc
- Saint Francis Hospital South, LLC
- Saint Francis Hospital Muskogee
- Saint Francis Hospital Vinita, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4905 | OK | MD | General Practice Dentistry |
| 150288 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Communications LLC | Current | Accepting new patients | |
| Warren Clinic Inc | Current | Accepting new patients | |
| Saint Francis Hospital, Inc. | Past | Accepting new patients |
Locations
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
6161 S Yale Ave
#A
Tulsa, OK 74136
6600 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-1805
6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
Interoperability endpoints
- rgoodwin7710@direct.saintfrancis.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Saint Francis Trauma Institute
- Critical Access Hospital
- Tulsa, OK
- NPI 1003040767
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Francis Hospital Muskogee
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
-
dba Saint Francis Hospital South
- General Acute Care Hospital
- Tulsa, OK
- NPI 1376561944
-
- Medicare Defined Swing Bed Hospital Unit
- Vinita, OK
- NPI 1467902460
-
- Psychiatric Hospital Unit
- Vinita, OK
- NPI 1578013579
-
- General Acute Care Hospital
- Vinita, OK
- NPI 1700334232
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283817600000",
"number": "1730340076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE",
"address_2": "SUITE 1400",
"city": "TULSA",
"state": "OK",
"postal_code": "741363347",
"telephone_number": "918-488-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741361902",
"telephone_number": "918-494-1805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "ROBERT",
"middle_name": "BROCK",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-19",
"last_updated": "2010-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "150288",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NC",
"license": "2008-01264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.