J Roger Goodwin, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

14457 Issued in KY

Practice address

1325 Andrea St
Suite 201
Bowling Green, KY 42104-5852

Phone

(270) 781-7212

Fax

(270) 781-7772

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• James R Goodwin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1871542654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 ANDREA ST",
            "address_2": "SUITE 201",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045852",
            "telephone_number": "270-781-7212",
            "fax_number": "270-781-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 ANDREA ST",
            "address_2": "SUITE 201",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045852",
            "telephone_number": "270-781-7212",
            "fax_number": "270-781-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "J",
        "middle_name": "ROGER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "14457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64144579",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "GOODWIN",
            "middle_name": "R",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kirby Gooding Wassom, M.S. CCC-SLP
• Meshel Goodman, APRN
• Olivia Grace Goodman
• Paige Goodman
• Demara Andrea Goodrich, APRN
• Gore Behavioral Care, LLC
• Cheryl R Gore, APRN
• Cheyenne Gore
• Katherine Helen Gorecki, MA, ATC
• Janeth Cruz Gossett

• Urology Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Urology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.