Individual provider Active NPI

Chad M Good, DO

  • Family Medicine Physician
  • Chambersburg, PA
National Provider Identifier
1164426656
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS012129 Issued in PA
Practice address
755 Norland Ave Ste 200
Chambersburg, PA 17201-4223
Phone
(717) 263-2230
Fax
(717) 263-2055
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
OS012129PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conemaugh Health Initiatives Family Medicine Past Accepting new patients
Conemaugh Valley Memorial Hospital Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS012129 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

755 Norland Ave Ste 200
Chambersburg, PA 17201-4223

Mailing address

755 Norland Ave Ste 200
Chambersburg, PA 17201-4223
Phone (717) 263-2230

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
001942800MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 7, 2011.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1164426656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NORLAND AVE STE 200",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014223",
            "telephone_number": "717-263-2230",
            "fax_number": "717-263-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NORLAND AVE STE 200",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014223",
            "telephone_number": "717-263-2230",
            "fax_number": "717-263-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "CHAD",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001942800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.