Active NPI
John Halerd Goodworth, M.D.
- Surgery Physician
- Pittsburgh, PA
National Provider Identifier
1871903542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD030508L
- Practice address
- 19 Woodbrook Dr
Pittsburgh, PA 15215-1543 - Phone
- (412) 963-8619
- NPI assigned
- May 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD030508L | PA | Primary |
Addresses
Primary practice location
19 Woodbrook Dr
Pittsburgh, PA 15215-1543
Mailing address
19 Woodbrook Dr
Pittsburgh, PA 15215-1543
Phone (412) 963-8619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1871903542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 WOODBROOK DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152151543",
"telephone_number": "412-963-8619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WOODBROOK DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152151543",
"telephone_number": "412-963-8619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWORTH",
"first_name": "JOHN",
"middle_name": "HALERD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-05",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD030508L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.