Good Shepherd Corporation

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

XRC970900 Issued in PA

Legal business name

GOOD SHEPHERD CORPORATION

Practice address

1327 Wyoming Ave
Scranton, PA 18509-2861

Phone

(570) 702-8360

Fax

(570) 702-8623

NPI assigned

Apr 17, 2007

Last updated

Jan 24, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Antognoli

Title

Chief Executive Officer

Phone

(570) 702-8360

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Good Shepherd Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Good Shepherd Corporation

  • Public Health or Welfare Agency
  • Scranton, PA
  • NPI 1477689842
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1003032558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 WYOMING AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092861",
            "telephone_number": "570-702-8360",
            "fax_number": "570-702-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 WYOMING AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092861",
            "telephone_number": "570-702-8360",
            "fax_number": "570-702-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "ANTOGNOLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "570-702-8360",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "XRC970900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007283070005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leon E Goliger, M.D.
• Lakshmi Rani Gollamudi, M.D.
• Sarah Lee Gombar
• Shannon Michael Gomes, M.D.
• Mariah Lynn Gonzalez
• Good Shepherd Corporation
• Keerthy Gopalakrishnan, MD
• Ruhi Goraya, M.D.
• Scott Michael Gordon, D.D.S.
• Kathleen M Goul

• Case Management Agency in Scranton, PA
• Providers in Scranton, PA by specialty
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.