Individual
CONNY DALE GOODIN
Active
Individual
CONNY DALE GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20159
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047824
ANTHEM BLUE SHIELD
KY
01
—
0037674
MEDICARE - FAYETTE COUNTY HEALTH DEPARTMENT
KY
01
—
0400358
UNITED HEALTHCARE
KY
01
—
110031155
RAILROAD MEDICARE
KY
01
—
1284109
UMWA
KY
01
—
1404232
UMWA
KY
01
—
611012421
ESSENCE
KY
01
—
611012421D
HUMANA
KY
05
—
64-201593
—
KY
01
—
D95905
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
08/24/2005
Last updated
01/18/2022
Update your record
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 at https://nppes.cms.hhs.gov.
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