Active NPI
Jaime T Goodman, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Mount Vernon, OH
National Provider Identifier
1790949006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 35091030
- Practice address
- 1330 Coshocton Ave
Mount Vernon, OH 43050 - Phone
- (740) 393-9000
- Fax
- (740) 392-0167
- NPI assigned
- Jul 16, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 35091030 | OH | Primary |
Addresses
Primary practice location
1330 Coshocton Ave
Mount Vernon, OH 43050
Mailing address
1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jaimegoodman@kch.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Endocrinology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35091030 | OH | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knox Community Hospital | Current | Accepting new patients | |
| Knox Community Hospital | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1330 Coshocton Ave
Fl 5
Mount Vernon, OH 43050
Phone (740) 393-9040
1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Mount Vernon, OH
- NPI 1154483022
-
- Community/Retail Pharmacy
- Mount Vernon, OH
- NPI 1073351557
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
-
- General Acute Care Hospital
- Mount Vernon, OH
- NPI 1295761963
-
- General Acute Care Hospital
- Newark, OH
- NPI 1568446755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1790949006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 COSHOCTON AVE",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "43050",
"telephone_number": "740-393-9000",
"fax_number": "740-392-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 COSHOCTON AVE",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "43050",
"telephone_number": "740-393-9000",
"fax_number": "740-392-0167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "JAIME",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-16",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "OH",
"license": "35091030",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jaimegoodman@kch.allscriptsdirect.net",
"affiliation": "N",
"address_1": "1330 Coshocton Ave",
"city": "Mount Vernon",
"state": "OH",
"country_code": "US",
"postal_code": "43050",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.