Individual
DR. NORMAN L GOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75-809 KEAOLANI DR, KAILUA KONA, HI 96740
(808) 987-6465
(877) 296-6734
Mailing address
75-809 KEAOLANI DR, KAILUA KONA, HI 96740-8815
(808) 987-6465
(877) 296-6734
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD-9108
HI
207LA0401X
Addiction Medicine (Anesthesiology) Physician
MD-9108
HI
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
MD-9108
HI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD-9108
HI
208VP0000X
Pain Medicine Physician
MD-9108
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000D0206195
HMSA INDIVIDUAL PROVIDER ID
—
05
—
20619-3
—
HI
01
—
F55789
UPIN
HI
Enumeration date
03/28/2008
Last updated
09/25/2020
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