Individual provider Active NPI

Gens Pierce Goodman, D.O.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Tucson, AZ
National Provider Identifier
1831496983
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
008428 Issued in AZ
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

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
088219MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210401001139 AZ Practitioner - Orthopedic Surgery 5496973430 Reassigns benefits to 1 organization

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
Tucson Orthopaedic Institute Professional CorporationGroup PAC ID 5799671905, 108 clinicians

Practice addresses (Care Compare)

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 784-6200

Hospital & facility affiliations

  • Dependable Home Health, Inc Home health agency, Tucson, AZ, CCN 037070
  • Enhabit Home Health Home health agency, Tucson, AZ, CCN 037451
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Benson Hospital Hospital, Benson, AZ, CCN 031301
  • Northern Cochise Community Hospital, Inc. Hospital, Willcox, AZ, CCN 031302
  • Copper Queen Community Hospital Hospital, Bisbee, AZ, CCN 031312

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement84
Knee replacement96
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H77332MDMDAdult Reconstructive Orthopaedic Surgery Physician
803NEMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Joint Specialty Center Orthopaedic Surgery Current Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Orthopaedic Surgery CurrentSince Oct 1, 2022 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Orthopaedic Surgery CurrentSince Oct 1, 2022 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

  • Direct secure messaging: ggoodman274115@christushealth.direct-ci.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.