Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gary M Goodman, MD

Individual provider Pediatrics Physician · NPI 1811999485

Dr. Gary M Goodman, MD is an Allergy/Immunology in Saint Louis, Missouri. Graduated from University of Michigan Medical School in 1981, 45 years ago. Licensed in Missouri.

Years since qualifying
45
Trained at
University of Michigan Medical School
Licensed in
MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Childrens Pl
Saint Louis, MO 63110-1002
Phone: (314) 454-2694
Fax: (314) 454-2515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Allergy/Immunology Physician (primary) Taxonomy 2080P0201X · Licence 102527 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 102527 (MO)

Record details

NPI number1811999485
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 12, 2005
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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