Dr Gary M Goodman, MD | |
1 Childrens Pl, Saint Louis, MO 63110-1002 | |
(314) 454-2694 | |
(314) 454-2515 |
Full Name | Dr Gary M Goodman |
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Gender | Male |
Speciality | Allergy/immunology |
Experience | 43 Years |
Location | 1 Childrens Pl, Saint Louis, Missouri |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811999485 | NPI | - | NPPES |
204643001 | Medicaid | MO | |
ENROLLED | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 102527 (Missouri) | Secondary |
2080P0201X | Pediatrics - Pediatric Allergy/immunology | 102527 (Missouri) | Primary |
Entity Name | Allergy & Asthma Care Of Sedona |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053500207 PECOS PAC ID: 3375798127 Enrollment ID: O20130227000353 |
Mailing Address | Practice Location Address |
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Dr Gary M Goodman, MD 456 N New Ballas Rd, Ste 129, Saint Louis, MO 63141-6812 Ph: (314) 569-1881 | Dr Gary M Goodman, MD 1 Childrens Pl, Saint Louis, MO 63110-1002 Ph: (314) 454-2694 |
Dr. Rachel Elizabeth Granberg, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl Msc 8116-0043-09, Saint Louis, MO 63110 Phone: 314-454-6018 Fax: 844-621-4392 | |
Timothy J Kutz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-268-6406 Fax: 314-268-2712 | |
Dr. William L Rives, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Div Ped Hospitalist Med, Saint Louis, MO 63110 Phone: 314-454-2076 Fax: 314-747-8953 | |
Dr. Linda A Tackes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5114 Mid America Plz, Ste 2c, Saint Louis, MO 63129 Phone: 314-859-4000 Fax: 314-273-4110 | |
Dr. Peter M Kilbridge, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl, Suite C, Saint Louis, MO 63110 Phone: 314-454-2479 Fax: 314-454-2524 | |
Sarah B. Aschkenasi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Saint Louis, MO 63110 Phone: 314-286-1264 Fax: 314-454-8869 | |
Dr. Jeffrey Magee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Div Ped Hematology And Onc, Ste 9s, Saint Louis, MO 63110 Phone: 314-454-6018 Fax: 844-621-4392 |