GORDON T GOODMAN (NPI# 1750349205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750349205 |
| Entity Type | Individual |
| Full Name | GORDON T GOODMAN |
| Credential | MD |
| Practice Address |
3336 S 4155 W Ste 306 West Valley City UT 84120-2045 |
| Practice Telephone | 8019643697 |
| Practice Fax Number | 8019643698 |
| Mailing Telephone | 8019643697 |
| Mailing Fax Number | 8019643698 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2011-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
72239271205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | BCBS-UT | 72239271200001 | 01 |
| UT | 1477676930 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013907351 | Gordon D. Goodman | Radiology | 1106 Druid Rd S, Suite 302, Clearwater, FL 33756-3846 | 2005-10-27 |
| Street Address |
3336 S 4155 W STE 306 |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84120-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972534279 | Lori R Swenson | Surgery | 3336 S 4155 W Ste 306, West Valley City, UT 84120-2045 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351278 | Healthy Mind Set Intl Inc | Internal Medicine | 7410 S Creek Rd Ste D100, Sandy, UT 84093-6140 | 2020-06-24 |
| 1700294428 | James Craven | Internal Medicine | 30 N 1900 E Som, Department of Medicine Office of Education, Salt Lake City, UT 84132 | 2014-07-25 |
| 1326203514 | Mohammed Soubhi Nizam | Internal Medicine | 1055 N 500 W Ste 205, Provo, UT 84604-3305 | 2008-07-28 |
| 1710002605 | Ihc Health Services Inc | Internal Medicine | 348 E 600 S, St George, UT 84770-3949 | 2007-03-20 |
| 1467533950 | Shahzad Ahmad | Internal Medicine | 4465 S 900 E Ste 200, Salt Lake City, UT 84124-2695 | 2006-10-18 |
| 1588754063 | Debra Lynn Simmons | Internal Medicine | 615 S Arapeen Dr, Suite 100, Salt Lake City, UT 84108-1267 | 2006-10-13 |
| 1033209614 | Eliot Ashby Brinton | Internal Medicine | 421 S Wakara Way Ste 121, Salt Lake City, UT 84108-1244 | 2006-10-13 |
| 1467474676 | Bruce Ryan Brady | Internal Medicine | 470 East 3900 South, #200, Salt Lake City, UT 84107-2332 | 2006-07-24 |
| 1952327173 | Simon J Fisher | Internal Medicine | 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108-1239 | 2006-07-14 |
| 1417989971 | Alireza Falahati-nini | Internal Medicine | 470 E 3900 S, Suite 200, Salt Lake City, UT 84107 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84120 |
Please comment or provide details below to improve the information on GORDON T GOODMAN.
| 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.