Individual
DR. DOUGLAS E GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6575
(816) 271-6139
Mailing address
PO BOX 8252, SAINT JOSEPH, MO 64508-8252
(816) 271-6575
(816) 271-6139
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0432989
KS
2085R0202X
Diagnostic Radiology Physician
Primary
R6C87
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200334530A
—
KS
05
—
202192837
—
MO
01
—
203405
BCBS KS FOR MO LOCATION
KS
01
—
35032011
BCBS KANSAS CITY MO
MO
01
—
P00154639
RR MEDICARE GROUP CK7871
MO
Enumeration date
02/20/2006
Last updated
05/23/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us