Goodman, Evan J

Goodman, Evan J is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Goodman, Evan J can be contacted via phone (216) 844-7330.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-7330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35-061353 Ohio
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 35-061353 Ohio
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 35-061353 Ohio
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207LH0002X 35-061353 Ohio
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 35-061353 Ohio
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 35-061353 Ohio

Profile Details

NPI number 1487676763
LBN Legal business name Goodman, Evan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Aug 18th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487676763 NPPES
Ohio Other 363570 WELLCARE MEDICAID
Ohio Other 744955 WELLCARE MEDICAID
Ohio Other 0000000516036 WELLCARE MEDICAID
Ohio Other 4202708 WELLCARE MEDICAID
Ohio Other 000000221425 WELLCARE MEDICAID
Ohio Other 0583328 WELLCARE MEDICAID
Ohio MEDICAID 0827823 WELLCARE MEDICAID
Ohio Other 50028773 WELLCARE MEDICAID
Ohio Other P00420566 WELLCARE MEDICAID

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