Active NPI
Gens Pierce Goodman, D.O.
- Adult Reconstructive Orthopaedic Surgery Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- 008428
- Practice address
- 5301 E Grant Rd
Tucson, AZ 85712-2805 - Phone
- (520) 784-6200
- Fax
- (520) 784-6109
- NPI assigned
- Feb 24, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 803 | NE | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | A-2015-16 | NM | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | H77332 | MD | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 0102203806 | VA | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | Q2772 | TX | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 008428 | AZ | Primary |
Addresses
Primary practice location
5301 E Grant Rd
Tucson, AZ 85712-2805
Mailing address
PO Box 31630
Tucson, AZ 85751-1630
Phone (520) 784-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088219 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Orthopedic Surgery
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 784-6200
Hospital & facility affiliations
- Dependable Home Health, Inc
- Enhabit Home Health
- Tucson Medical Center
- Benson Hospital
- Northern Cochise Community Hospital, Inc.
- Copper Queen Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 84 |
| Knee replacement | 96 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H77332 | MD | MD | Adult Reconstructive Orthopaedic Surgery Physician |
| 803 | NE | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Joint Specialty Center | Orthopaedic Surgery | Current | Accepting new patients |
| Tucson Orthopaedic Institute Professional Corporation | Orthopaedic Surgery | Current | Accepting new patients |
| Tucson Orthopaedic Institute Professional Corporation | Orthopaedic Surgery | Current | Accepting new patients |
| Deming Hospital Corporation | Past | Accepting new patients | |
| BHS Specialty Network Inc | Past | Accepting new patients |
Locations
5301 E Grant Rd
Bldg 1ST
Tucson, AZ 85712
5301 E Grant Rd
Bldg 1
Tucson, AZ 85712
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
10350 E Drexel Rd
Unit 120
Tucson, AZ 85747
Phone (520) 420-2280
6320 N La Cholla Blvd
Ste 200
Tucson, AZ 85741
Interoperability endpoints
- ggoodman274115@christushealth.direct-ci.net
- ggoodm05@yourcarecommunity.org
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Tucson, AZ
- NPI 1437193265
-
- Ambulatory Surgical Clinic/Center
- Tucson, AZ
- NPI 1609601764
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Tucson, AZ
- NPI 1609328350
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1831492651
-
- Rural Health Clinic/Center
- Deming, NM
- NPI 1134526221
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Benson, AZ
- NPI 1336118322
-
- Critical Access Hospital
- Bisbee, AZ
- NPI 1518968767
-
- Home Health Agency
- Tucson, AZ
- NPI 1700888757
-
- Home Health Agency
- Tucson, AZ
- NPI 1518351865
-
- Critical Access Hospital
- Willcox, AZ
- NPI 1013060367
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1831496983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31630",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857511630",
"telephone_number": "520-784-6200",
"fax_number": "520-784-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E GRANT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122805",
"telephone_number": "520-784-6200",
"fax_number": "520-784-6109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "GENS",
"middle_name": "PIERCE",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-24",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "NE",
"license": "803",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "NM",
"license": "A-2015-16",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "MD",
"license": "H77332",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "VA",
"license": "0102203806",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "TX",
"license": "Q2772",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "AZ",
"license": "008428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "088219",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.