Healthcare Provider Details

I. General information

NPI: 1568542108
Provider Name (Legal Business Name): OSCAR BAYLIN GOODMAN JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9280 W SUNSET RD STE 100
LAS VEGAS NV
89148-4861
US

IV. Provider business mailing address

2050 PINTO LANE #200
LAS VEGAS NV
89106
US

V. Phone/Fax

Practice location:
  • Phone: 702-952-1251
  • Fax: 702-952-1242
Mailing address:
  • Phone: 702-473-1757
  • Fax: 702-725-4348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number220226
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number220226
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number12232
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: