James A Goudy II, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35057542G Issued in OH

Practice address

270 Portland Way S
Galion, OH 44833

Phone

(419) 468-8323

Fax

(419) 462-5567

NPI assigned

Jan 20, 2006

Last updated

Dec 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Ohio State University College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians

Galion Community HospitalGroup PAC ID 5496737439, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avita Home Health and Hospice Home health agency, Galion, OH, CCN 367403
• Centerwell Home Health II Home health agency, Solon, OH, CCN 368104
• Galion Community Hospital Hospital, Galion, OH, CCN 361325
• Avita Ontario Hospital, Ontario, OH, CCN 360365
• Bucyrus Community Hospital Hospital, Bucyrus, OH, CCN 361316

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Galion Community Hospital

  dba GCH Health Services

  • Critical Access Hospital
  • Galion, OH
  • NPI 1215907522

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• North Central Ohio Family Care Center, Inc

  • Specialist
  • Galion, OH
  • NPI 1689822827
  Medicare reassignment Care Compare group
• Galion Community Hospital

  dba Avita Crestline Pharmacy

  • Pharmacy
  • Crestline, OH
  • NPI 1346061256
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avita Ontario Hospital

  • General Acute Care Hospital
  • Ontario, OH
  • NPI 1790131050
  Care Compare affiliation
• Bucyrus Community Hospital LLC

  dba Bucyrus Community Hospital

  • Critical Access Hospital
  • Bucyrus, OH
  • NPI 1104914274
  Care Compare affiliation
• Crawford County Shared Health Services

  dba Avita Home Health and Hospice

  • Home Health Agency
  • Galion, OH
  • NPI 1649385865
  Care Compare affiliation
• Galion Community Hospital

  dba GCH Health Services

  • Critical Access Hospital
  • Galion, OH
  • NPI 1215907522
  Care Compare affiliation
• PF Development 15 LLC

  dba CenterWell Home Health II

  • Home Health Agency
  • Ontario, OH
  • NPI 1023318565
  Care Compare affiliation

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1154301471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N COLUMBUS ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271455",
            "telephone_number": "419-468-0511",
            "fax_number": "419-468-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PORTLAND WAY S",
            "city": "GALION",
            "state": "OH",
            "postal_code": "44833",
            "telephone_number": "419-468-8323",
            "fax_number": "419-462-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDY",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35057542G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0747124",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000371100",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgoudy482654@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "270 Portland Way S",
            "city": "Galion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donald Mark George, RPH
• Tricia Lynn Gies, SWT
• Linda L. Gillam, LPN-M-IV
• Jeffrey W Glynn, DDS
• Golden Reflections, LLC
• Jason A. Govia, APRN-CRNA
• Bradley O Grohoske, CRNA
• Joshua Daniel Grund, NP-C
• Anna Katherine Hairston, LSW
• Jessica Ann Hall, RD, LD

• Internal Medicine Physician in Galion, OH
• Providers in Galion, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.