IndividualActive
Justin Gooden, MD
NPI 1205127982 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Wichita, KS
Provider details
- NPI number
- 1205127982
- Entity type
- Individual
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 04-36002 (KS)
Specialties & taxonomies
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianPrimary2083P0011XLicense 04-36002 (KS)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
10346 E Stonegate Ln Ste 100
Wichita, KS 67206-2054
Phone: (316) 871-0995
Approximate (ZIP-level) locationGet directions
Mailing address
10346 E Stonegate Ln Ste 100
Wichita, KS 67206-2054
Registry dates
- Enumerated
- 2011-04-28
- Last updated
- 2025-05-21
- Certified
- 2025-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.