Goodman, Mason R
Goodman, Mason R is an individual health care provider with primary practice located at 1801 N Senate Blvd Ste 230 , Indianapolis IN 46202-1252. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Goodman, Mason R can be contacted via phone (317) 962-5820.Contact Information
Primary practice address
1801 N Senate Blvd Ste 230
Indianapolis IN 46202-1252
Phone: (317) 962-5820
Fax: (317) 962-3916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 01024689A | Indiana |
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 01024689A | Indiana |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 01024689A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01024689A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01024689A | Indiana |
Profile Details
| NPI number | 1508848433 |
|---|---|
| LBN Legal business name | Goodman, Mason R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jun 14th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508848433 | NPPES |
| Indiana | Other | 000000081345 | BC/BS |
| Indiana | Other | 267030315 | BC/BS |
| Indiana | MEDICAID | 100062950 | BC/BS |
| Indiana | Other | 290006483 | BC/BS |
| Indiana | Other | CI0473 | BC/BS |
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