Dr. Gary M Goodman
MD | Pediatric Allergy-Immunology | Male
Dr. Gary M Goodman, MD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
Pediatric Allergy-Immunology.
Current practice location of Dr. Gary M Goodman is
1 Childrens Pl, Saint Louis, Missouri - 63110-1002. He can be contacted on phone at
314-454-2694 and fax number 314-454-2515.
Dr. Gary M Goodman is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Gary M Goodman is
1811999485 which was assigned by NPPES on 12 Aug, 2005 and it was last updated on 19 Feb, 2020.
Dr. Gary M Goodman license number is
102527 for Pediatrics Pediatric Allergy/Immunology (2080P0201X) in Missouri.
Dr. Gary M Goodman specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Dr. Gary M Goodman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Allergy/Immunology |
|---|
| Provider Name : | Dr. Gary M Goodman |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Gary M Goodman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Childrens Pl
Saint Louis, MO, 63110-1002
United States |
|---|
| Phone Number : | 314-454-2694 |
|---|
| Fax Number : | 314-454-2515 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1811999485 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 12 Aug, 2005 |
|---|
| Last Updated On : | 19 Feb, 2020 |
|---|
Medicare Participation:
Dr. Gary M Goodman participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8527049832 |
|---|
| Medicare Enrollment ID : | I20040525000022 |
|---|
| Primary Specialty : | Allergy/immunology |
|---|
| Medical School : | University Of Michigan Medical School |
|---|
| Graduation Year : | 1981 |
|---|
| Accepts Medicare? | May accept. Dr. Gary M Goodman may accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Gary M Goodman is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Gary M Goodman is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| | | 1146 W State Route 89a
Suite B1
Sedona, AZ - 863365769
Ph: 9282840166 | May accept |
| Davis, Wright, Berdy, And Suffian, Pc | 9335110949 | 4 | 456 N New Ballas Rd
Suite 129
Saint Louis, MO - 631416812
Ph: 3145691881 | Yes |
| Davis, Wright, Berdy, And Suffian, Pc | 9335110949 | 4 | 5551 Winghaven Blvd
Suite 270
O Fallon, MO - 633683629
Ph: 3145691881 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gary M Goodman are as mentioned. Primary taxonomy code for Dr. Gary M Goodman, MD is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 102527 | MO |
| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | Yes | 102527 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Gary M Goodman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 204643001 | MEDICAID | MO | |
| ENROLLED | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 456 N New Ballas Rd, Ste 129
Saint Louis, MO, 63141-6812
United States |
|---|
| Phone Number : | 314-569-1881 |
|---|
| Fax Number : | 314-569-3277 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Gary M Goodman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.