Lee A. Goodman, MD

Emergency Medicine in Annapolis, MD. Individual provider (NPI-1).

NPI number1093752008

StatusActive

Last updated in NPPESMar 7, 2023

Details

NPI: 1093752008
Entity type: Individual (NPI-1)
Name: Lee A. Goodman
Credential: MD
Sex: Male
Sole proprietor: Yes
Enumeration date: May 31, 2006
Last updated: Mar 7, 2023

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
Medicare opt-out: Apr 1, 2014 to Apr 1, 2028
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207P00000X	Emergency Medicine	D0036668	MD	Yes

Practice location

79 West St
Annapolis, MD 21401-2426

Phone 410-268-3627 · Fax 410-267-6372

Mailing address

79 West St
Annapolis, MD 21401-2426

Phone 410-268-3627 · Fax 410-267-6372

Is something wrong?

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Other Emergency Medicine Physician providers in Annapolis, MD

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