DR. STUART JACK GOODMAN (NPI# 1982601068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982601068 |
| Entity Type | Individual |
| Full Name | DR. STUART JACK GOODMAN |
| Credential | M.D., MBA |
| Practice Address |
17 Western Maryland Pkwy Suite 100 Hagerstown MD 21740-5471 |
| Practice Telephone | 3017976389 |
| Practice Fax Number | 3017974119 |
| Mailing Telephone | 3017976389 |
| Mailing Fax Number | 3017974119 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
D27445 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AETNA | 4051977 | 01 |
| MD | TRISTATE HEALTH PARTNERS | 522101237 | 01 |
| MD | RAILROAD MEDICARE | P01332730 | 01 |
| MD | UNITED HEALTHCARE | 522101237 | 01 |
| MD | PRIME HEALTH SERVICES | 522101237 | 01 |
| MD | HEALTHNET FEDERAL SERVICES | 522101237 | 01 |
| MD | CIGNA | 7419424 | 01 |
| MD | CAREFIRST | W2660036 | 01 |
| MD | JOHNS HOPKINS US FAMILY HEALTH/EHP | 255881 | 01 |
| MD | MARYLAND PHYSICIANS CARE | 522101237 | 01 |
| MD | 798681500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861659112 | Stuart H Goodman | Dentist | 233 E Erie, #210, Chicago, IL 60611 | 2008-05-22 |
| 1386789766 | Stuart H Goodman | Chiropractor | 300b Princeton Hightstown Rd, Suite 104, East Windsor, NJ 08520-1400 | 2007-02-21 |
| 1669528923 | Stuart Barry Goodman | Orthopaedic Surgery | 900 Blake Wilbur Dr, First Floor Mc 5311, Palo Alto, CA 94304-2201 | 2007-01-26 |
| 1154432425 | Stuart G. Goodman | Neurological Surgery | 1041 N 29th St, Billings, MT 59101-0731 | 2006-08-31 |
| Street Address |
17 WESTERN MARYLAND PKWY SUITE 100 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256111 | Tia Marie Finzel | Physician Assistant | 17 Western Maryland Pkwy, Hagerstown, MD 21740-5471 | 2019-07-09 |
| 1174074116 | Kristen Kivlen | Physician Assistant | 17 Western Maryland Pkwy, Suite 102, Hagerstown, MD 21740-5471 | 2016-10-14 |
| 1134519606 | Stephanie Hamrick | Physician Assistant | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2015-02-04 |
| 1316336449 | Collina Afriyie | Physician Assistant | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2015-01-13 |
| 1801225057 | John Christopher De Luna | Physical Therapist | 17 Western Maryland Pkwy, Hagerstown, MD 21740-5471 | 2013-11-08 |
| 1144453879 | Andrea N Stone | Physical Therapist | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2009-08-28 |
| 1366690281 | Parkway Neuroscience and Spine Institute, LLC | Physical Therapist | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2008-09-04 |
| 1356512792 | Grace Mooney | Neurological Surgery | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2008-03-13 |
| 1073710158 | Aaron Robert Probst | Physician Assistant | 17 Western Maryland Pkwy, Ste 100, Hagerstown, MD 21740-5146 | 2007-07-02 |
| 1679779409 | Nino Dgebuadze | Physical Medicine & Rehabilitation | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740 | 2007-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528028230 | Jamal Ali | Psychiatry & Neurology | 19236 Meadow View Dr, Hagerstown, MD 21742-2908 | 2006-03-25 |
| 1740668573 | Daksha Patel Md LLC | Psychiatry & Neurology | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 | 2015-05-13 |
| 1538204219 | Cheunju Chen | Psychiatry & Neurology | 235 Mill St, Suite 1, Hagerstown, MD 21740 | 2007-02-21 |
| 1366462715 | Thomas W Furlow | Psychiatry & Neurology | 17 Western Maryland Pkwy, Hagerstown, MD 21740-5146 | 2006-07-20 |
| 1518905439 | Mir Neurology Center Pa | Psychiatry & Neurology | 11110 Medical Campus Rd, Suite 151, Hagerstown, MD 21742-6700 | 2006-06-03 |
| 1497793087 | Sarim Rahman Mir | Psychiatry & Neurology | 11110 Medical Campus Rd, Suite 151, Hagerstown, MD 21742-6700 | 2006-06-03 |
| 1578564761 | Mehrullah Khan | Psychiatry & Neurology | 11110 Medical Campus Rd, Suite 227, Hagerstown, MD 21742-6700 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777210 | Progressive Neurology LLC | Psychiatry & Neurology | 2405 Whittier Dr Unit 100, Frederick, MD 21702-3361 | 2019-12-20 |
| 1285288241 | Yair Mina | Psychiatry & Neurology | 297 Rollins Ave, Rockville, MD 20852-4018 | 2019-07-29 |
| 1861956930 | Capital Stroke Neurology Inc | Psychiatry & Neurology | 9117 Falls Chapel Way, Potomac, MD 20854-2453 | 2019-01-23 |
| 1013496405 | Riverside Neurology LLC | Psychiatry & Neurology | 560 Riverside Dr Ste B204, Salisbury, MD 21801-4703 | 2018-08-07 |
| 1740726942 | George Oyler | Psychiatry & Neurology | 2924 Guilford Ave, Baltimore, MD 21218-4115 | 2017-01-11 |
| 1265988075 | Rena Diana Sukhdeo Singh | Psychiatry & Neurology | 10 Center Drive Room B15-733, Msc 1063, Bethesda, MD 20892-0001 | 2016-08-31 |
| 1134672918 | Anne Damian Yacoub | Psychiatry & Neurology | 600 N Wolfe St Rm 627, Baltimore, MD 21287-0005 | 2016-07-28 |
| 1689026338 | James Vornov | Psychiatry & Neurology | 3519 Old Court Rd, Pikesville, MD 21208-3124 | 2016-07-06 |
| 1619343092 | Usa Sleep Diagnostic Mobile Services, LLC | Psychiatry & Neurology | 1215 Annapolis Rd Ste 202, Odenton, MD 21113-1349 | 2015-08-19 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
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| 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.