Active NPI
Thomas P Goodell MD PC
- Family Medicine Physician
- Laramie, WY
National Provider Identifier
1851402150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6971A
- Legal business name
- THOMAS P GOODELL MD PC
- Practice address
- 3810 Grand Avenue
Suite B
Laramie, WY 82070 - Phone
- (307) 742-9940
- Fax
- (307) 742-9946
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Perry Goodell, MD
- Title
- President
- Phone
- (307) 742-9940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6971A | WY | Primary |
Addresses
Primary practice location
3810 Grand Avenue
Suite B
Laramie, WY 82070
Mailing address
3810 Grand Avenue
Suite B
Laramie, WY 82070
Phone (307) 742-9940
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1851402150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 GRAND AVENUE",
"address_2": "SUITE B",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82070",
"telephone_number": "307-742-9940",
"fax_number": "307-742-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 GRAND AVENUE",
"address_2": "SUITE B",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82070",
"telephone_number": "307-742-9940",
"fax_number": "307-742-9946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS P GOODELL MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOODELL",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "PERRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "307-742-9940",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "6971A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.