DENNIS S. GOODMAN DO – NPI #1720169709
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

DENNIS GOODMAN is a physician located in ROLLA, MO. NPPES has assigned the NPI number 1720169709 to DENNIS GOODMAN on October 18, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 18 years ago on Feb 22, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DENNIS GOODMAN below.

NPI Profile for
DENNIS S. GOODMAN

NPI Number
1720169709
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DENNIS S. GOODMAN
Credentials
DO
Primary location
715 ST RT CC
ROLLA, MO 65401
Phone: (573) 308-7386 Fax: (573) 341-5300
Mailing address
PO BOX 918
ROLLA, MO 65402
Phone: Fax: (573) 341-5300
Sole Proprietor
No
Updated
Identifiers

Identifiers for DENNIS GOODMAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICAREMO080052033
MEDICAIDMO241605948
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)
MO RSB71

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.