Peter Lewis Goodman, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

0101019253 Issued in VA

Practice address

8220 Meadowbridge Rd
Suite 301
Mechanicsville, VA 23116-2336

Phone

(804) 559-0423

Fax

(804) 559-1260

NPI assigned

Apr 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Peter L. Goodman, M. D.,Inc.

  • Gastroenterology Physician
  • Mechanicsville, VA
  • NPI 1023327319
  NPD (past) Authorized official

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1770546012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 MEADOWBRIDGE RD",
            "address_2": "SUITE 301",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162336",
            "telephone_number": "804-559-0423",
            "fax_number": "804-559-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 MEADOWBRIDGE RD",
            "address_2": "SUITE 301",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162336",
            "telephone_number": "804-559-0423",
            "fax_number": "804-559-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "PETER",
        "middle_name": "LEWIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101019253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6022057",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackie Gonsalves, O.T.
• Ernesto R Gonzalez, M.D.
• Mary Alice Goode, MSN, CRNA
• Serena Josephine Goode, PA-C
• Kimberly Parrish Goodman, RPH
• Elizabeth Goodwin-Horn, PT, DPT
• Anita Gordon
• Demetria Y. Gordon, M.D.
• Jennifer Gordon, O.T.
• Kimberly Gordon, P.T.

• Gastroenterology Physician in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.