NPIMap

Organization Active NPI

Henry C. Goodman, M.D. PSC

  • Specialist
  • Ashland, KY
National Provider Identifier
1851513170
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
23890 Issued in KY
Legal business name
HENRY C. GOODMAN, M.D. PSC
Practice address
2301 Lexington Ave
Suite 300
Ashland, KY 41101-2823
Phone
(606) 329-2823
Fax
(606) 324-6291
NPI assigned
May 3, 2007
Last updated
Apr 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dr. Henry Carl Goodman, M.D.NPI 1346242153
Title
Neurologist
Phone
(606) 329-2823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 23890 KY Primary

Addresses

Primary practice location

2301 Lexington Ave
Suite 300
Ashland, KY 41101-2823

Mailing address

2301 Lexington Ave
Suite 300
Ashland, KY 41101-2823
Phone (606) 329-2823

Other identifiers 2

IdentifierTypeStateIssuer
0439869MedicaidOH
64238900MedicaidKY

National Provider Directory

National Provider Directory

Locations

2301 Lexington Ave
Ste 300
Ashland, KY 41101
Phone (606) 329-2823

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1851513170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 LEXINGTON AVE",
            "address_2": "SUITE 300",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012823",
            "telephone_number": "606-329-2823",
            "fax_number": "606-324-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LEXINGTON AVE",
            "address_2": "SUITE 300",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012823",
            "telephone_number": "606-329-2823",
            "fax_number": "606-324-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY C. GOODMAN, M.D. PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "606-329-2823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "23890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0439869",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64238900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.