Individual
DR. SCOTT H GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4242 FARNAM ST, SUITE 500, OMAHA, NE 68131-2806
(402) 552-2650
(402) 552-2655
Mailing address
4242 FARNAM ST, SUITE 500, OMAHA, NE 68131-2806
(402) 552-2650
(402) 552-2655
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0429835
KS
2084N0400X
Neurology Physician
2002025632
MO
2084N0400X
Neurology Physician
Primary
25150
NE
2084N0400X
Neurology Physician
38333
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001648902
COMMUNITY HEALTH PLAN
MO
05
—
10025242300
—
NE
05
—
209017508
—
MO
01
—
32772027
BLUE SHIELD
MO
01
—
7364484
AETNA
MO
01
—
7570195
CIGNA
MO
01
—
P00379248
MEDICARE RAILROAD
MO
Enumeration date
06/01/2005
Last updated
12/20/2016
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