# THOMAS JOSEPH GOODENOW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609807189
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 18990 | KY | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 11/02/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 37903705 | MEDICAID LAB GROUP | KY |
| 01 | — | 4000501 | MEDICARE LAB GROUP | KY |
| 05 | — | 64189905 | — | KY |
| 01 | — | CB5773 | RR MEDICARE GROUP | KY |