Active NPI
Steven Everett Goodwiller, MD PA
- Orthopaedic Surgery Physician
- Panama City, FL
National Provider Identifier
1922027952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME0050344
- Practice address
- 402 W 19TH St
Panama City, FL 32405-4602 - Phone
- (850) 763-6179
- Fax
- (850) 763-0412
- NPI assigned
- Jul 19, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME0050344 | FL | Primary |
Addresses
Primary practice location
402 W 19TH St
Panama City, FL 32405-4602
Mailing address
402 W 19TH St
Panama City, FL 32405-4602
Phone (850) 763-6179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04095 | Other | FL | BCBS OF FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of South Alabama College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
402 W 19TH St
Panama City, FL 32405-4602
Phone (850) 763-6179
Hospital & facility affiliations
- Enhabit Home Health
- HCA Florida Gulf Coast Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0050344 | FL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven E Goodwiller MD PA | Orthopaedic Surgery | Current | Accepting new patients |
| Medical Evaluators Inc | Current | Accepting new patients |
Locations
402 W 19th St
Panama City, FL 32405
Phone (850) 763-6179
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Panama City, FL
- NPI 1346273166
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Panama City, FL
- NPI 1679561526
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
- Home Health Agency
- Panama City, FL
- NPI 1518916659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262044800000",
"number": "1922027952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 W 19TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054602",
"telephone_number": "850-763-6179",
"fax_number": "850-763-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 W 19TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054602",
"telephone_number": "850-763-6179",
"fax_number": "850-763-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWILLER",
"first_name": "STEVEN",
"middle_name": "EVERETT",
"name_prefix": "Dr.",
"credential": "MD PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2009-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME0050344",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "04095",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.