Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER WADE GOODMAN
ActiveTYLER WADE GOODMAN is a Peer Specialist healthcare provider located in PONCA CITY, Oklahoma. NPI 1124884242 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · PONCA CITY, OK
Registration Details
- NPI Number
- 1124884242
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2024 (2.2796768452231 yrs)
- Last Updated
- Mar 20, 2024
Practice Information
- Address
-
93 NOEL LNPONCA CITY, OK, 746045443Browse OK providers · Browse ZIP 74604
- Phone
- 5804855796
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in PONCA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| THOMAS JENKINS | PTA | 1174726277 |
| JOHN WENSLER | RSS | 1073934980 |
| MORGAN MACKENZIE MCGILVREY I | — | 1215335716 |
| MRS. PAULA ELAINE HOWARD | — | 1790160232 |
| SHANELL DENT | — | 1205387644 |
| KATHY MITCHELL | — | 1437691268 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.