Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN J GOODMAN, MD
DeactivatedSTEPHEN J GOODMAN, MD is a Diagnostic Radiology healthcare provider located in FAIRFAX, Virginia. NPI 1962420968 is deactivated in the NPPES registry. Verify at CMS.
Diagnostic Radiology · FAIRFAX, VA
This NPI has been deactivated.
The record was deactivated on June 4, 2012.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1962420968
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (5.8825136612022 yrs)
- Last Updated
- Apr 22, 2013
- Deactivated
- Jun 4, 2012
- Licenses
-
0101023891 (VA)0101023891 (VA)0101023891 (VA)0101023891 (VA)0101023891 (VA)
Practice Information
- Address
-
2722 MERRILEE DRSUITE 230FAIRFAX, VA, 220314400Browse VA providers · Browse ZIP 22031
- Phone
- 7036984483
- Fax
- 7035730880
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Neuroradiology
- Additional Specialty
- 2085N0904X
- Additional Specialty
- Pediatric Radiology
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| SUZANNE M HAND | MD | 1033103197 |
| DANA A TWIBLE | MD | 1275523805 |
| VALERIE A POMPER | MD | 1134119639 |
| DR. JOHN H LEE | M.D. | 1588655005 |
| SHARON DHEUREUX | MD | 1700869872 |
| PAUL JAMES CUNNINGHAM | M.D. | 1245214675 |
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.