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Harris Michael Goodman

Surgeon Trauma Surgeon

1541 Florida Ave Ste 200
Modesto , California 95350-4429

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Image

Harris Michael Goodman

Surgeon Trauma Surgeon

1541 Florida Ave Ste 200
Modesto , California 95350-4429

(209) 523-0764

Write a Review Save Call

Harris Michael Goodman

Surgeon Trauma Surgeon

1541 Florida Ave Ste 200
Modesto , California 95350-4429

(209) 523-0764 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Surgeon
  • Trauma Surgeon

Languages spoken

  • English

Location

1541 Florida Ave Ste 200 Modesto , California 95350-4429

First Address

  • Harris Michael Goodman
  • 1541 Florida Ave Ste 200
  • Modesto, CA
  • Zip : 95350-4429
  • Fax : (209) 523-0764
  • Phone : (209) 577-3388

Second Address

  • Harris Michael Goodman
  • 1541 Florida Ave Ste 200
  • Modesto, CA
  • Zip : 95350-4429
  • Fax : (209) 523-0764
  • Phone : (209) 577-3388

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FAQs


Where did Harris Michael Goodman attend graduate school?

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Where did Harris Michael Goodman do his residency?

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Where did Harris Michael Goodman do his fellowship?

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Is Harris Michael Goodman board certified?

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What type of doctor is Harris Michael Goodman

Surgeon

In what state does Harris Michael Goodman practice in?

California

Where is Harris Michael Goodman ’s practice located?

1541 Florida Ave Ste 200 , Modesto, California, 95350-4429

What is Harris Michael Goodman ’s gender?

Male

Is Harris Michael Goodman a sole practitioner?

No

Is Harris Michael Goodman accepting new patients?

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What languages does Harris Michael Goodman speak?

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Does Harris Michael Goodman accept insurance?

Yes, Harris Michael Goodman accepts insurance

Does Harris Michael Goodman offers telemedicine?

Harris Michael Goodman has not indicated if he offers telemedicine

What is Harris Michael Goodman ’s professional license number?

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What is Harris Michael Goodman ’s NPI number?

1215925771

Does Harris Michael Goodman have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 208200000X Surgeon G19278 CA
Y 208600000X Surgeon G19278 CA
N 2086S0127X Trauma Surgeon G19278 CA

National Provider Identifier

NPI 1215925771
Provider Name Harris Michael Goodman
First Address Modesto, CA 95350-4429
Second Address Modesto, CA 95350-4429
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 10/10/2005
Last Update Date 29/03/2011

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
020018719 RAILROAD MEDICARE (01) CA
A40585 (02) CA
CD069A GROUP PTAN- MEDICARE (01) CA
CD169Z INDIVIDUAL PTAN - MEDICARE (01) CA
ZZZ48224Z MEDICARE IDENTIFICATION # (01) CA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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