Marvin L Goodman
Medical Specialty
Professional ID
- NPI: 1538146733
- PECOS ID: 3476615113
- Enrollment ID: I20081215000423
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 1998
Hospital Service
- Hospital CCN1: 370113
- Business Name (LBN)1: Integris Grove Hospital
- Hospital CCN2: 370171
- Business Name (LBN)2: W W Hastings Indian Hospital
Medical Practices
- Organization Name: Anesthesia Associates Of Grand Lake
- Group Practice ID assigned by PECOS: 5597803353
- Number of Group Practice member: 4
Location
- Address1: 1001 E 18th St
- Address2:
- City: Grove
- State: Oklahoma
- Zip Code: 74344
- Phone Number: (918)786-2243
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):