Gittle G Goodman Wilson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00039703 Issued in WA

Practice address

2616 Meridian St Ste 101
Bellingham, WA 98225-2409

Phone

(360) 715-9500

Fax

(360) 752-1407

NPI assigned

Feb 1, 2007

Sex

Female

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

Other names 1

• Gittle G Goodman Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Internal Medicine

Education

R Franklin University of Med & Sci/Chicago Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eden Home Health Home health agency, Bellingham, WA, CCN 507105

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.

• Bellingham Medical Clinic Inc

  • Internal Medicine Physician
  • Bellingham, WA
  • NPI 1457532004
  Medicare reassignment
• Peacehealth

  dba PeaceHealth Medical Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Bellingham, WA
  • NPI 1265692842
  NPD (past)
• Peacehealth

  dba PeaceHealth Medical Group

  • Internal Medicine Physician
  • Bellingham, WA
  • NPI 1356309553
  NPD (past)

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

• Empres Home Health of Bellingham, LLC

  dba Eden Home Health

  • Home Health Agency
  • Bellingham, WA
  • NPI 1316031230
  Care Compare affiliation

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1811034234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 MERIDIAN ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252409",
            "telephone_number": "360-715-9500",
            "fax_number": "360-752-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 MERIDIAN ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252409",
            "telephone_number": "360-715-9500",
            "fax_number": "360-752-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN WILSON",
        "first_name": "GITTLE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00039703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "861079160",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bellingham-medical-clinic@comcast.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1155 N State St Ste 408",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982255024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GITTLE",
            "last_name": "GOODMAN",
            "middle_name": "G",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katherine Isabella Gonzalez
• Neyda Gonzalez
• Ruben I Gonzalez
• Eduardo H Goo, MD
• Alex Marie Goode, PA-C
• Erin Goodman, LMP
• Jenessa Elizabeth Goodman, MA, LMFT
• Taylor Goodman, LMT
• Lucas Goodwin, PHD
• Sheila D Goodwin, LCSW

• Internal Medicine Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.

Verify at the official NPI Registry.