| Dr Douglas E Goodman, MD | |
| 
					5325 Faraon St, Saint Joseph, MO 64506-3488  | |
| (816) 271-6575 | |
| (816) 271-6139 | 
| Full Name | Dr Douglas E Goodman | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 5325 Faraon St, Saint Joseph, Missouri | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043285596 | NPI | - | NPPES | 
| 202192837 | Medicaid | MO | |
| 35032011 | Other | MO | BCBS KANSAS CITY MO | 
| 200334530A | Medicaid | KS | |
| P00154639 | Other | MO | RR MEDICARE GROUP CK7871 | 
| 203405 | Other | KS | BCBS KS FOR MO LOCATION | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | R6C87 (Missouri) | Primary | 
| 2085R0202X | Radiology - Diagnostic Radiology | 0432989 (Kansas) | Secondary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Douglas E Goodman, MD Po Box 8252, Saint Joseph, MO 64508-8252 Ph: (816) 271-6575  | Dr Douglas E Goodman, MD 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6575  | 
Daniel C Renfro, DO Radiology Medicare: Medicare Enrolled Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6000  | |
Dr. Edward M Stevens, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6575 Fax: 816-271-6139  | |
Dr. David C Mena, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6575 Fax: 816-271-7644  | |
Dr. Jose Francisco Alvarez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6000  | |
Dr. Bonnie K Goins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 902 N Riverside Rd, #201, Saint Joseph, MO 64507 Phone: 816-271-7280 Fax: 816-271-1047  | |
Dr. Steven C Looney, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6575 Fax: 816-271-6139  |