Ian P. Goodman, M.D.

Orthopaedic Surgery Physician · Owasso, OK

Individual Active NPI

NPI number 1134495666

Practice location

12455 E 100TH St N
Owasso, OK 74055-4674
Phone
(918) 272-9464
Fax
(918) 272-9512

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NPI record

NPI
1134495666
Entity type
Individual (Type 1)
Enumeration date
March 29, 2012
Last updated
May 11, 2022
Certified
May 11, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Orthopaedic Surgery Physician Primary 207X00000X 39030 OK
Orthopaedic Surgery Physician 207X00000X 27449 NE
Orthopaedic Surgery Physician 207X00000X ME133594 FL

Mailing address

4802 S 109TH East Ave
Tulsa, OK 74146-5822
Phone
(918) 392-1400
Fax
(918) 392-1488

About Dr. Goodman

Ian P. Goodman, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Orthopaedic Surgery Physician (code 207X00000X). The practice location is 12455 E 100TH St N, Owasso, OK 74055-4674. The NPI number 1134495666 was assigned on March 29, 2012 and the record was last updated on May 11, 2022.

Dr. Goodman lists 3 licenses in the registry: #39030 (OK) for Orthopaedic Surgery Physician; #27449 (NE) for Orthopaedic Surgery Physician; #ME133594 (FL) for Orthopaedic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ian P. Goodman, M.D.?

The NPI number is 1134495666.

What is the phone number of Dr. Goodman?

The phone number listed for the practice location is (918) 272-9464.

Where is Dr. Goodman located?

12455 E 100TH St N, Owasso, OK 74055-4674.

What is the taxonomy code for Dr. Goodman?

The primary taxonomy code is 207X00000X – Orthopaedic Surgery Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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