Individual provider · Type 1 NPI
Emily Ann Goodman, MD
Vascular Surgery Physician · Lafayette, IN
NPI number
1912401308
Active
Practice location
5177 Mccarty Ln
Lafayette, IN 47905-8764
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice locations
- 5841 S. Maryland Ave. M/c 6040, Chicago, IL 60637-2401 · (773) 702-1860
- 1701 N Senate Blvd, Indianapolis, IN 46202-1239 · (888) 484-3258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 036.165209 (IL) |
| Surgery Physician | 208600000X | 01096656A (IN) |
| Vascular Surgery Physician Primary | 2086S0129X | 01096656A (IN) |
| Vascular Surgery Physician | 2086S0129X | 036.165209 (IL) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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Other vascular surgery physician providers in Lafayette
About NPI 1912401308
Emily Ann Goodman, MD's National Provider Identifier is 1912401308, issued on Mar 20, 2018. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Lafayette, IN. The record was last updated on Mar 13, 2026.