DR. GARY R GOODMAN (NPI# 1972581841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972581841 |
| Entity Type | Individual |
| Full Name | DR. GARY R GOODMAN |
| Credential | MD |
| Practice Address |
3520 E 15th St Suite 200 Loveland CO 80538-8938 |
| Practice Telephone | 9706699100 |
| Practice Fax Number | 9706690440 |
| Mailing Telephone | 9706699100 |
| Mailing Fax Number | 9706690440 |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2015-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 36761 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE RAILROAD CARRIER PTAN | P00944736 | 01 |
| CO | 01367614 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477574978 | Gary Sean Goodman | Pharmacist | 6000 Quiet Glow Ave, Las Vegas, NV 89139-6422 | 2006-07-21 |
| 1982669024 | Gary R Goodman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 22250 Providence Dr Ste 606, Southfield, MI 48075-6214 | 2006-04-20 |
| 1629353735 | Gary Goodman | Case Manager/Care Coordinator | 64 Industrial Park Rd, Plymouth, MA 02360-4881 | 2011-10-20 |
| 1992988869 | Gary H Goodman | Dentist | 3455 Main St, Springfield, MA 01107-1147 | 2007-12-13 |
| 1255402251 | Gary E. Goodman | Internal Medicine | 1221 Madison St, Seattle, WA 98104-3588 | 2006-11-13 |
| 1588758551 | Gary Goodman | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-10-03 |
| 1740232172 | Gary A Goodman | Emergency Medicine | 1401 W Seminole Blvd, Central Florida Regional Hospital, Dept of Emerg. Med., Sanford, FL 32771-6743 | 2006-05-16 |
| 1316930381 | Gary Neal Goodman | Psychologist | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | 2005-08-25 |
| 1598758617 | Gary Richard Goodman | Podiatrist | 2350 Sunset Point Rd, Suite A, Clearwater, FL 33765-1443 | 2005-08-24 |
| 1811999485 | Gary M Goodman | Pediatrics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2005-08-12 |
| Street Address |
3520 E 15TH ST SUITE 200 |
| City | LOVELAND |
| State | CO |
| Zip Code | 80538-8938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992788129 | Andrea Wilson Mead | Pediatrics | 3520 E 15th St, Loveland, CO 80538-8938 | 2005-11-22 |
| 1336752914 | Poudre Valley Medical Group, LLC | Pediatrics | 3520 E 15th St, Loveland, CO 80538-8938 | 2020-08-25 |
| 1770743387 | Mark Robert Auble | Dentist | 3520 E 15th St, Suite 102, Loveland, CO 80538-8938 | 2008-06-17 |
| 1639353485 | Bridget Marie Brown | Pediatrics | 3520 E 15th St, Loveland, CO 80538-8938 | 2007-12-27 |
| 1104927946 | David R Coleman | Physician Assistant | 3520 E 15th St, Suite 200, Loveland, CO 80538-8938 | 2006-09-26 |
| 1386757508 | Michael J Eddy | Urology | 3520 E 15th St, Suite 200, Loveland, CO 80538-8938 | 2006-08-15 |
| 1538123930 | Julie M Noffsinger | Pediatrics | 3520 E 15th St, Loveland, CO 80538-8938 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332385 | Jocelyn Stott | Social Worker | 1611 N Estrella Avenue, Loveland, CO 80538 | 2020-10-02 |
| 1184234049 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 383 W. 37th St., Ste. 104, Loveland, CO 80538 | 2020-08-05 |
| 1578102752 | Shela Wagner | Student in an Organized Health Care Education/Training Program | 2603 North Monroe Ave, Loveland, CO 80538 | 2020-01-05 |
| 1184261901 | Sierra Compton | Behavior Technician | 2906 Ginnala Drive, Loveland, CO 80538 | 2019-12-01 |
| 1497306138 | Warrior Diagnostics, Inc. | Clinical Medical Laboratory | 6215 Aviation Cir., Loveland, CO 80538 | 2019-09-24 |
| 1093372625 | Kimberly Ann Boogaerts | Behavior Technician | 1437 North Denver Ave Ste 237, Loveland, CO 80538 | 2019-05-20 |
| 1033676101 | Hero Vision of Loveland, LLC | Optometrist | 3515 Mountain Lion Drive, Loveland, CO 80538 | 2019-02-26 |
| 1225509201 | Mbbk Consulting Inc. | Day Training, Developmentally Disabled Services | 4115 Georgetown Drive, Loveland, CO 80538 | 2018-12-17 |
| 1457833808 | Judy A Elliott | Speech-Language Pathologist | 3232 Williamsburg St, Loveland, CO 80538 | 2018-09-02 |
| 1245756584 | Beth Joyce Hale | Counselor | 1440 W.29th, #100, Loveland, CA 80538 | 2017-08-18 |
| Find all providers in zip 80538 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285747857 | George H Phillips | Urology | 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 | 2006-08-16 |
| 1326654369 | Poudre Valley Medical Group, LLC | Urology | 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 | 2020-09-16 |
| 1780819607 | John Michael Paddack | Urology | 1813 Cheyenne Ave, Loveland, CO 80538-4244 | 2009-05-20 |
| 1336395334 | Kurt Strom | Urology | 1813 Cheyenne Ave, Loveland, CO 80538-4244 | 2008-08-11 |
| 1871606954 | Oakwood Urology Clinic PC | Urology | 1647 E 18th St, Loveland, CO 80538-4209 | 2006-08-16 |
| 1386757508 | Michael J Eddy | Urology | 3520 E 15th St, Suite 200, Loveland, CO 80538-8938 | 2006-08-15 |
| 1811929326 | Loveland Urologic Associates | Urology | 1907 Boise Ave, Loveland, CO 80538 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350476 | Poudre Valley Medical Group, LLC | Urology | 2315 E Harmony Rd Ste 140, Fort Collins, CO 80528-8620 | 2020-09-15 |
| 1619586187 | Poudre Valley Medical Group, LLC | Urology | 175 S Union Blvd Ste 315, Colorado Springs, CO 80910-3126 | 2020-07-30 |
| 1932718418 | Portercare Adventist Health System | Urology | 2352 Meadows Blvd Ste 300u, Castle Rock, CO 80109-8406 | 2020-07-30 |
| 1417566274 | Portercare Adventist Health System | Urology | 9949 S Oswego St Ste 300, Parker, CO 80134-3888 | 2020-07-28 |
| 1255981833 | Advanced Urology, Pllc | Urology | 500 W 144th Ave Ste 220, Westminster, CO 80023-9328 | 2019-09-16 |
| 1316597990 | Advanced Urology, Pllc | Urology | 1411 S Potomac St Ste 210, Aurora, CO 80012-4538 | 2019-09-16 |
| 1629628201 | Advanced Urology, Pllc | Urology | 2030 Mountain View Ave Ste 420, Longmont, CO 80501-3182 | 2019-09-16 |
| 1528618303 | Advanced Urology, Pllc | Urology | 4743 Arapahoe Ave Ste 104, Boulder, CO 80303-1123 | 2019-09-13 |
| 1902463508 | San Juan Regional Medical Center Inc | Urology | 1485 Florida Rd Ste 103a, Durango, CO 81301-6873 | 2019-05-20 |
| 1093207680 | University Physicians Incorporated | Urology | 9330 S University Blvd Ste 230, Highlands Ranch, CO 80126-5049 | 2018-05-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. GARY R 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.