Dr Douglas E Goodman, MD | |
5325 Faraon St, Saint Joseph, MO 64506-3488 | |
(816) 271-6575 | |
(816) 271-6139 |
Full Name | Dr Douglas E Goodman |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 5325 Faraon St, Saint Joseph, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043285596 | NPI | - | NPPES |
202192837 | Medicaid | MO | |
35032011 | Other | MO | BCBS KANSAS CITY MO |
200334530A | Medicaid | KS | |
P00154639 | Other | MO | RR MEDICARE GROUP CK7871 |
203405 | Other | KS | BCBS KS FOR MO LOCATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | R6C87 (Missouri) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 0432989 (Kansas) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas E Goodman, MD Po Box 8252, Saint Joseph, MO 64508-8252 Ph: (816) 271-6575 | Dr Douglas E Goodman, MD 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6575 |
Daniel C Renfro, DO Radiology Medicare: Medicare Enrolled Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6000 | |
Dr. Edward M Stevens, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6575 Fax: 816-271-6139 | |
Dr. David C Mena, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6575 Fax: 816-271-7644 | |
Dr. Jose Francisco Alvarez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6000 | |
Dr. Bonnie K Goins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 902 N Riverside Rd, #201, Saint Joseph, MO 64507 Phone: 816-271-7280 Fax: 816-271-1047 | |
Dr. Steven C Looney, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6575 Fax: 816-271-6139 |