Individual provider Active NPI

Jon Marc Goodnight, M.D.

  • Orthopaedic Surgery Physician
  • Waco, TX
National Provider Identifier
1770543480
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
J2034 Issued in TX
Practice address
7125 Sanger Rd Ste 516
Waco, TX 76712-4054
Phone
(254) 752-9368
Fax
(254) 752-2201
NPI assigned
Mar 25, 2006
Last updated
May 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X J2034 TX Primary

Addresses

Primary practice location

7125 Sanger Rd Ste 516
Waco, TX 76712-4054

Mailing address

6600 Fish Pond Rd
Suite 201
Waco, TX 76710-2581
Phone (254) 752-9368

Other identifiers 1

IdentifierTypeStateIssuer
118777501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110224000211 TX Practitioner - Orthopedic Surgery 9537219134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at San Antonio, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health AllianceGroup PAC ID 6305731068, 119 clinicians

Practice addresses (Care Compare)

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Alliance CurrentSince Aug 27, 2018 Accepting new patients
Providence Health Alliance CurrentSince Aug 27, 2018 Accepting new patients

Locations

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000

7125 Sanger Rd
Ste 516
Woodway, TX 76712
Phone (254) 752-9368

Interoperability endpoints

  • Direct secure messaging: jon.goodnight.1@9635.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1770543480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FISH POND RD",
            "address_2": "SUITE 201",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102581",
            "telephone_number": "254-752-9368",
            "fax_number": "254-752-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 SANGER RD STE 516",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767124054",
            "telephone_number": "254-752-9368",
            "fax_number": "254-752-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODNIGHT",
        "first_name": "JON",
        "middle_name": "MARC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J2034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118777501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.