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Deactivated NPI 1912207473 Deactivated / Inactive NPI Male Practitioner

Dr. John Willis Goodman , MD

Specialist • Mount Pleasant, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Goodman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 29, 2010
NPI Deactivation Date June 22, 2018
Total Practice Duration ~8 Years of Practice (2010 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. John Goodman, MD was a registered Specialist practicing in Mount Pleasant, TX. Throughout an active medical career spanning 8 years, Dr. Goodman provided care at the practice location at 804 W 16TH ST until profile deactivation on 2018-06-22.

Practice Location & Contact Primary Location

Practice Address

804 W 16th St

Mount Pleasant, TX 754552435

Telephone 9035729893
Fax 9035728873
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mount Pleasant, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Mount Pleasant, TX (2033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX 138123

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1669067872

Bachelor of Science in Nursing, Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 22, 2018

Record deactivated on June 22, 2018

NPI Profile Active December 04, 2015

NPI status registered as active in NPPES database

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Updated Practice Location December 04, 2015

Registered at 804 W 16TH ST, MOUNT PLEASANT, TX 754552435 (Tel: 9035729893)

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Updated Business Mailing Address December 04, 2015

Registered at 804 W 16TH ST, MOUNT PLEASANT, TX 754552435 (Tel: 9035729893)

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Provider Name / Credentials Updated December 04, 2015

Recorded as JOHN GOODMAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2015

Specialist (License #138123 in TX)

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Initial NPI Registration & Enumeration October 29, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912207473
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2010
Last Update: December 04, 2015
Deactivation Date: June 22, 2018

Mailing Address

804 W 16th St

Mount Pleasant, TX 754552435

Phone: 9035729893

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.