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DR. ZACHARY AVITAL GOODMAN M.D.
NPI 1790205854
General Practice in Saint Louis, MO

Active since June 20, 2017
6642 CLAYTON RD # 278, SAINT LOUIS, MO 63117(000) 000-0000 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 30, 2019, Jun 20, 2017 (2 updates tracked since 2017).

About Dr. Zachary Avital Goodman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ZACHARY AVITAL GOODMAN M.D. (NPI 1790205854) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (2018042200) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1790205854
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ZACHARY AVITAL GOODMANCredential: M.D.
Location Address6642 CLAYTON RD # 278Saint Louis, MO 63117-1602
Mailing Address6642 Clayton Rd # 278Saint Louis, MO 63117-1602
Phone(000) 000-0000
Sole ProprietorNo
Enumeration DateJune 20, 2017
Last NPPES UpdateJanuary 30, 20192 updates tracked since enumeration
✔ NPI 1790205854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · 2018042200
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6642 CLAYTON RD # 278, Saint Louis, MO 63117
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Goodman's NPI number?

The NPI number for Zachary Goodman is 1790205854. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Zachary Goodman located?

Zachary Goodman practices at 6642 Clayton Rd # 278, Saint Louis, MO 63117. The listed phone number is (000) 000-0000.

What is Zachary Goodman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Zachary Goodman was last updated on January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.