Goodside Health Medical, PLLC
NPI 1033972716ActiveOrganization· Pediatrics· Albuquerque, NM
Pediatrics in Albuquerque, New Mexico, registered in NPPES in February 2024. The authorized official on file is Brian White, Ceo.
Overview
| NPI | 1033972716 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 5, 2024 |
| Last updated in NPPES | Jun 13, 2024 |
| Certified by provider | Mar 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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