Active NPI
Jason C Goodwin, M.D.
- Otolaryngology Physician
- Seguin, TX
National Provider Identifier
1972737237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- T4752
- Practice address
- 105 Medical
Seguin, TX 78155-5392 - Phone
- (830) 379-0299
- Fax
- (830) 401-0323
- NPI assigned
- May 14, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2010019837 | MO | |
| Otolaryngology Physician | 207Y00000X | T4752 | TX | Primary |
Addresses
Primary practice location
105 Medical
Seguin, TX 78155-5392
Mailing address
105 Medical
Seguin, TX 78155-5392
Phone (830) 379-0299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Otolaryngology
- Education
- University of Texas Medical School at San Antonio, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Medical
Seguin, TX 78155-5392
Phone (830) 401-7558
Hospital & facility affiliations
- Guadalupe Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.89 of 100
- Quality
- 68.71
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 69.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010019837 | MO | MD | Otolaryngology Physician |
| T4752 | TX | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guadalupe Regional Medical Group | Current | Accepting new patients | |
| Guadalupe Regional Medical Group | Current | Accepting new patients |
Locations
1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411
105 Medical
Seguin, TX 78155
Phone (830) 240-2826
Interoperability endpoints
- jason.goodwin.1@27064.direct.athenahealth.com
- https://api.platform.athenahealth.com/27064/brand/1/csg/1/fhir/r4
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.
-
- Multi-Specialty Clinic/Center
- Seguin, TX
- NPI 1578873717
-
- Urgent Care Clinic/Center
- New Braunfels, TX
- NPI 1114559432
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seguin, TX
- NPI 1720088123
-
- General Acute Care Hospital
- Seguin, TX
- NPI 1780529966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1972737237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MEDICAL",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781555392",
"telephone_number": "830-379-0299",
"fax_number": "830-401-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MEDICAL",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781555392",
"telephone_number": "830-379-0299",
"fax_number": "830-401-0323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "JASON",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-14",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MO",
"license": "2010019837",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "T4752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seguin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.