DR. M.D. Peter M Goodman, NPI 1821039173
Emergency Medical Services (Emergency Medicine) Physician in Southfield, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1821039173 |
| NPI Entity Type | Individual |
| Provider Name | DR. M.D. Peter M Goodman |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 16001 W 9 Mile Rd, Southfield, MI, US |
| Provider Mailing Address | Po Box 100, Royal Oak, MI, US, 480680100 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician |
| Classification | |
| Group | |
| License No. | 4301029764 |
| License State | MI |
| Description | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 103394992 | MI | MEDICAID | 05 |
| 104274934 | MI | MEDICAID | 05 |
| PG029764 | MI | BC/BS OF MICHIGAN | 01 |
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