Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. GARY M GOODMAN
Active
Individual
DR. GARY M GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
102527
MO
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
102527
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204643001
—
MO
05
—
ENROLLED
—
IL
Enumeration date
08/12/2005
Last updated
02/19/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up