Dr Gary R Goodman, MD - Thoracic Surgery (Cardiothoracic Vascular Surgery) in Southfield, MI

Dr Gary R Goodman, MD is a Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Southfield, Michigan. Dr Gary R Goodman is licensed to practice in Michigan (license number 4301044225) and his current practice location is 22250 Providence Dr Ste 606, Southfield, Michigan. He can be reached at his office (for appointments etc.) via phone at (248) 443-1281.

NPI number for Dr Gary R Goodman is 1982669024 and his current mailing address is 1030 Harrington St Ste 203, Mount Clemens, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982669024.

Contact Information

Dr Gary R Goodman, MD
22250 Providence Dr Ste 606,
Southfield, MI 48075-6214
(248) 443-1281
(248) 443-1411



Physician's Profile

Full NameDr Gary R Goodman
GenderMale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location22250 Providence Dr Ste 606, Southfield, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1982669024
  • Provider Enumeration Date: 04/20/2006
  • Last Update Date: 08/26/2019

Medical Identifiers

Medical identifiers for Dr Gary R Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982669024NPI-NPPES
10 3282495MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 4301044225 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary R Goodman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Gary R Goodman, MD
1030 Harrington St Ste 203,
Mount Clemens, MI 48043-2967

Ph: (586) 493-9229
Dr Gary R Goodman, MD
22250 Providence Dr Ste 606,
Southfield, MI 48075-6214

Ph: (248) 443-1281

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Southfield, MI

Zewditu Elsabet Asfaw, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 16001 W 9 Mile Rd Fl 3, Southfield, MI 48075
Phone: 248-849-2600    Fax: 248-849-2610

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