Active NPI
John E Goodpasture Jr., MD
- Anesthesiology Physician
- Chandler, AZ
National Provider Identifier
1124019161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 47111
- Practice address
- 1955 W Frye Rd
Chandler, AZ 85224-6282 - Phone
- (480) 728-3000
- Fax
- (480) 507-2971
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | E2578 | TX | |
| Anesthesiology Physician | 207L00000X | 47111 | AZ | Primary |
Addresses
Primary practice location
1955 W Frye Rd
Chandler, AZ 85224-6282
Mailing address
PO Box 1847
Gilbert, AZ 85299-1847
Phone (480) 507-2961
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 829085 | Medicaid | AZ | |
| 157212501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandler Anesthesia Consultants LLC | Anesthesiology | Past | Accepting new patients |
| Christopher Beneduce | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Chandler, AZ
- NPI 1881632552
-
- Anesthesiology Physician
- Chandler, AZ
- NPI 1174833784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382918400000",
"number": "1124019161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1847",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852991847",
"telephone_number": "480-507-2961",
"fax_number": "480-507-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 W FRYE RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246282",
"telephone_number": "480-728-3000",
"fax_number": "480-507-2971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODPASTURE",
"first_name": "JOHN",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2013-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "E2578",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "47111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "829085",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157212501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.