DR. MARK ALLEN GOODSON


Address: 114 Welton Way Ste A, Mooresville, NC 28117-9251
Phone: 7046645766

DR. MARK ALLEN GOODSON (NPI# 1487632881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487632881
Entity Type Individual
Full Name DR. MARK ALLEN GOODSON
Credential MD
Practice Address 114 Welton Way Ste A
Mooresville
NC 28117-9251
Mailing Address 114 Welton Way
Suite A
Mooresville
NC 28117-9163
Practice Telephone 7046645766
Practice Fax Number 7046649311
Mailing Telephone 7046645766
Mailing Fax Number 7046649311
Enumeration Date 2006-01-05
Last Update Date 2020-04-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
97-01373 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC MEDICARE INDIVIDUAL 2244486B 01
NC UPIN G54400 01
NC 790243U 05

Office Location

Street Address 114 WELTON WAY STE A
City MOORESVILLE
State NC
Zip Code 28117-9251

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891356648 Teleoptometric Service, P.C. Optometrist 392 Talbert Rd, Mooresville, NC 28117 2019-06-24
1992268544 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 392 Talbert Rd., Mooresville, NC 28117 2019-04-10
1982178042 Langtree Endoscopy Center, LLC Clinic/Center 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 2019-01-11
1679044416 May and Associates Therapy Center Psychologist 862 Brawley School Road, Suite 202, Mooresville, NC 28117 2018-12-05
1700360153 Sabrina Chabot Hutchinson Physical Therapist 508 Williamson Rd, Suite 200, Mooresville, NC 28117 2018-09-21
1992284327 Presbyterian Imaging Centers LLC Radiology 106 Langtree Village Dr # 201, Mooresville, NC 28117 2018-08-07
1073091310 Jenelle Donzelli Nemeth Registered Nurse 102 Sapphire Drive, Mooresville, NC 28117 2018-07-30
1912497496 Patsharx LLC Pharmacy 480 River Hwy, Suite A, Mooresville, NC 28117 2018-05-10
1427502434 Counseling Service At Lake Norman, Pllc Community/Behavioral Health 18117 W. Catawba Avenue, Cornelius, NC 28117 2016-08-08
1447605928 Renewal Counseling, Pllc Counselor 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 2016-05-03
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598743981 Rehabilitation Medicine & Pain Center PC Physical Medicine & Rehabilitation 114 Welton Way, Suite A, Mooresville, NC 28117-9163 2006-01-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659836591 Advanced Regenerative Care, Pllc Physical Medicine & Rehabilitation 504 C Red Banks Road, Greenville, NC 27858 2019-02-05
1992160659 Carolina Sports and Spine Physical Medicine & Rehabilitation 1700 Forest Hills Rd W, Wilson, NC 27893-3411 2015-12-23
1811399850 Mitchell Bloom Physical Medicine & Rehabilitation Oak Branch Drive, Suite 7e, Greensboro, NC 27407-2380 2014-09-22
1881619005 Fan Xi Physical Medicine & Rehabilitation 2800 Ashton Drive, Suite 100, Wilmington, NC 28412-2486 2006-07-12
1093753329 Edward Anthony Overton Physical Medicine & Rehabilitation 10310 Mallard Creek Rd, Ste 101-c, Charlotte, NC 28262-9771 2006-06-02
1083696892 Ronald Vandernoord Physical Medicine & Rehabilitation 710 Park Center Dr Ste 300, Matthews, NC 28105-5082 2005-11-17
1922095520 Angelo Tellis Physical Medicine & Rehabilitation 2111 Neuse Blvd. Suite J, New Bern, NC 28560-4317 2005-09-29
1578569166 Thomas Francis Florian Physical Medicine & Rehabilitation 4901 Dawn Dr, Suite 3300, Lumberton, NC 28360-8287 2005-06-28
1619524097 Novant Medical Group Inc Physical Medicine & Rehabilitation 3515 W Market St Ste 210, Greensboro, NC 27403-4442 2019-08-21
1467006197 Southeastern Medical, Pa Physical Medicine & Rehabilitation 830 Sunset Blvd N, Sunset Beach, NC 28468-4262 2019-07-31
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Competitor

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City MOORESVILLE
Zip Code 28117

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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