Organization Active NPI

Margo Goodman DO Professional Corporation

  • Neuromusculoskeletal Medicine & OMM Physician
  • Topsham, ME
National Provider Identifier
1801661152
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
MARGO GOODMAN DO PROFESSIONAL CORPORATION
Practice address
11 Bowdoin Mill Is Ste 210
Topsham, ME 04086-1241
Phone
(207) 798-5500
NPI assigned
Nov 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Margo Goodman, DONPI 1912268764
Title
Owner
Phone
(207) 798-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

11 Bowdoin Mill Is Ste 210
Topsham, ME 04086-1241

Mailing address

11 Bowdoin Mill Is Ste 210
Topsham, ME 04086-1241
Phone (207) 798-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240104002566 ME Part B Supplier - Clinic/Group Practice 3173974078 Receives reassigned benefits from 1 practitioner
Practice locations: Brunswick, ME

National Provider Directory

National Provider Directory

Locations

11 Bowdoin Mill Is
Ste 210
Topsham, ME 04086
Phone (207) 798-5500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1801661152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BOWDOIN MILL IS STE 210",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861241",
            "telephone_number": "207-798-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BOWDOIN MILL IS STE 210",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861241",
            "telephone_number": "207-798-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGO GOODMAN DO PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "MARGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-798-5500",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topsham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.