GOODSIDE HEALTH MEDICAL, PLLC – NPI #1790415909
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

GOODSIDE HEALTH MEDICAL, PLLC is a provider located in CEDAR RAPIDS, IA. NPPES has assigned the NPI number 1790415909 to GOODSIDE HEALTH MEDICAL, PLLC on June 13, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Jul 01, 2022. 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 GOODSIDE HEALTH MEDICAL, PLLC below.

NPI Profile for
GOODSIDE HEALTH MEDICAL, PLLC

NPI Number
1790415909
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOODSIDE HEALTH MEDICAL, PLLC
Primary location
3300 SOUTHGATE CT SW
STE 183
CEDAR RAPIDS, IA 52404
Phone: (281) 203-5006 Fax:
Mailing address
1701 RIVER RUN STE 302
FORT WORTH, TX 76107-6547
Phone: (281) 203-5006 Fax:
Organization Subpart
No
Authorized Official
GERARDO REYES
OWNER
Phone: (281) 203-5006
Updated
Certification Date
Jul 01, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.