DR. ROBERT L GOODMAN (NPI# 1649217779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649217779 |
Entity Type | Individual |
Full Name | DR. ROBERT L GOODMAN |
Credential | MD |
Practice Address |
3400 Civic Center Blvd Philadelphia PA 19104-5127 |
Practice Telephone | 2156623147 |
Mailing Telephone | 2156623147 |
Enumeration Date | 2006-05-31 |
Last Update Date | 2016-03-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
MD019883E | PA | Allopathic & Osteopathic Physicians |
N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
68324 | NJ | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821596909 | Robert Leland Goodman | Counselor | 1134 W. North Ave, Second Floor, Milwaukee, WI 53205 | 2018-01-24 |
1003079203 | Robert H Goodman | Specialist | 124 Lafayette Dr Ne Apt 4, Atlanta, GA 30309-3344 | 2008-07-08 |
1508998089 | Robert M Goodman | Emergency Medicine | 21751 Chase Dr, Novi, MI 48375-4767 | 2007-03-11 |
1831276492 | Robert William Goodman | Dentist | 42430 West Twelve Mile Road, Suite 101, Novi, MI 48377-3028 | 2006-11-01 |
1487754156 | Robert L. Goodman | Surgery | 66 Morgan Rd, West Springfield, MA 01089-1410 | 2006-09-23 |
1982639373 | Robert Lehr Goodman | Internal Medicine | 2532 Grand Concourse, Bronx, NY 10458-4902 | 2006-07-12 |
1588698468 | Robert C Goodman | Podiatrist | 10 Colonial Rd Ste 8, Colonial Office Park, Salem, MA 01970-2947 | 2006-07-10 |
1982666855 | Robert Lee Goodman | Family Medicine | 1331 Medical Center Dr, Suite C, Rohnert Park, CA 94928-2900 | 2006-04-05 |
1982674131 | Robert C. Goodman | Social Worker | 3929 Tinsley Dr Ste 104, High Point, NC 27265-1531 | 2006-01-23 |
1851370787 | Robert George Goodman | Psychologist | 83 Franklin St, Watertown, MA 02472-4020 | 2006-01-10 |
Street Address |
3400 CIVIC CENTER BLVD |
City | PHILADELPHIA |
State | PA |
Zip Code | 19104-5127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124027727 | Joel D Glickman | Internal Medicine | 3400 Civic Center Blvd, 1st Floor, Suite 300 S, Philadelphia, PA 19104-4306 | 2005-07-18 |
1841891058 | Abigail Brooke Horowitz | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-11-04 |
1073129532 | Samuel Kovell | Physician Assistant | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-09-21 |
1306451695 | Farzad Nourollah-zadeh | Oral Medicinist | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-09-13 |
1609492917 | Mosetta Harris | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-06-23 |
1063032530 | Monique Maria Tee | Internal Medicine | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-04-24 |
1609495290 | Katharine Freeman Michel | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd, 3rd Floor West Pavilion, Philadelphia, PA 19104 | 2020-04-13 |
1609495498 | Taha Samir Ghouleh | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-04-11 |
1952930554 | Danielle Marie Lamarra | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-04-06 |
1982232658 | Jasmine Hwang | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-03-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
Find all providers in zip 19104 |
Taxonomy Code | 2085R0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Therapeutic Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346499431 | Nitin Ohri | Radiology | 834 Chestnut St, Apt 1011, Philadelphia, PA 19107-5127 | 2008-09-12 |
1043240021 | Eli Glatstein | Radiology | 3400 Spruce Street, 2 Donner Bldg, Philadelphia, PA 19104 | 2006-07-04 |
1275569964 | Robert Allen Lustig | Radiology | 3400 Civic Center Blvd, Concourse Level, Philadelphia, PA 19104-5127 | 2006-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518072701 | Carl Friedrich Jueng | Radiology | 919 Settlers Ridge Rd, Pittsburgh, PA 15238-1653 | 2006-08-20 |
1619947686 | Jack A Abarbanel | Radiology | 1604 Burtner Rd, Natrona Heights, PA 15065-2845 | 2006-01-24 |
1356809453 | Pinnacle Health Medical Services | Radiology | 100 Corporate Center Dr Ste 100, Camp Hill, PA 17011-1758 | 2019-03-07 |
1477814606 | Leila Tchelebi | Radiology | 500 University Dr, Hershey, PA 17033-2360 | 2012-06-05 |
1194996769 | John Bernard Healy | Radiology | 800 Mahoning St, Lehighton, PA 18235-1246 | 2008-03-21 |
1992824320 | Jotinder Kaur Patheja | Radiology | 2787 Walker Ct, Export, PA 15632-9307 | 2007-03-28 |
1093760209 | Guthrie Medical Group, P.C. | Radiology | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2006-05-24 |
1689627697 | Camilo Alcoseba | Radiology | 801 Ostrum St, St. Luke's Hospital, Bethlehem, PA 18015-1000 | 2006-05-19 |
1790738102 | Advanced Radiation Oncology Associates, PC | Radiology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2006-05-18 |
1255305819 | David F Stefanik | Radiology | 337 Somerset St, Johnstown, PA 15901-2541 | 2006-02-13 |
Find all providers with the same taxonomy |
City | PHILADELPHIA |
Zip Code | 19104 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.