NPIMap

Organization Active NPI

Richmond Family Medicine PLLC

  • Family Medicine Physician
  • Richmond, VT
National Provider Identifier
1851698112
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RICHMOND FAMILY MEDICINE PLLC
Practice address
30 W. Main St.
Richmond, VT 05477
Phone
(802) 434-4123
Fax
(802) 434-3130
NPI assigned
Feb 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Dr. Daniel Millett Goodyear, M.D.NPI 1659491660
Title
MD/Owner
Phone
(802) 578-8058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

30 W. Main St.
Richmond, VT 05477

Mailing address

30 W Main St
Richmond, VT 05477-4479
Phone (802) 434-4123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111010000270 VT Part B Supplier - Clinic/Group Practice 7113199480 Receives reassigned benefits from 14 practitioners
Practice locations: Richmond, VT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D2029471Richmond Family Medicine30 West Main St, Richmond, VT 05477Provider-performed microscopyDec 12, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1851698112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MAIN ST",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054774479",
            "telephone_number": "802-434-4123",
            "fax_number": "802-434-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W. MAIN ST.",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "05477",
            "telephone_number": "802-434-4123",
            "fax_number": "802-434-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "GOODYEAR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MILLETT",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "802-578-8058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.