Dr Ian P Goodman, MD | |
12455 E 100th St N, Owasso, OK 74055-4674 | |
(918) 272-9464 | |
(918) 272-9512 |
Full Name | Dr Ian P Goodman |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 12 Years |
Location | 12455 E 100th St N, Owasso, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134495666 | NPI | - | NPPES |
14123871 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 27449 (Nebraska) | Secondary |
207X00000X | Orthopaedic Surgery | ME133594 (Florida) | Secondary |
207X00000X | Orthopaedic Surgery | 39030 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St John Owasso | Owasso, OK | Hospital |
Bailey Medical Center, Llc | Owasso, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tulsa Bone And Joint Associates Pc | 9335033802 | 72 |
Entity Name | Tulsa Bone & Joint Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154373132 PECOS PAC ID: 9335033802 Enrollment ID: O20040214000207 |
Mailing Address | Practice Location Address |
---|---|
Dr Ian P Goodman, MD 4802 S 109th East Ave, Tulsa, OK 74146-5822 Ph: (918) 392-1400 | Dr Ian P Goodman, MD 12455 E 100th St N, Owasso, OK 74055-4674 Ph: (918) 272-9464 |
Brian C. Howard, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 13616 E 103rd St N, Owasso, OK 74055 Phone: 918-481-2767 | |
Dr. Terrill H Simmons, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 12455 E 100th St N, Suite 260, Owasso, OK 74055 Phone: 918-272-9464 Fax: 918-274-5569 | |
Dr. Bradley J. Lawson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13616 E 103rd St N Ste B, Owasso, OK 74055 Phone: 918-272-4488 Fax: 918-481-7611 |