Individual
DR. MICHAEL D GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 475-8787
(513) 558-3136
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5506
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35.089515
OH
2086S0102X
Surgical Critical Care Physician
35089515
OH
2086S0127X
Trauma Surgery Physician
Primary
35089515
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080809
—
OH
Enumeration date
05/14/2007
Last updated
03/09/2018
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