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Contact Information

DOUGLAS E GOODMAN, MD
5325 FARAON ST
SAINT JOSEPH, MO64506-3488
 Phone: 816-271-6575
 Fax: 816-271-6139
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for DOUGLAS E GOODMAN · (Male)

NPI # 1043285596
Status Active
Credentials MD
Entity Individual
Enumeration date 02/20/2006
Last updated 05/23/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 0432989
  • MO License # R6C87
  • KS Medicaid 200334530A
  • MO Medicaid 202192837
  • KS Other 203405 BCBS KS FOR MO LOCATION
  • MO Other 35032011 BCBS KANSAS CITY MO
  • MO Other P00154639 RR MEDICARE GROUP CK7871
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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