Active NPI
Robert L Good, MD
- Family Medicine Physician
- Leola, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD036150E
- Practice address
- 337 W Main St
Leola, PA 17540-2109 - Phone
- (717) 656-6122
- Fax
- (717) 656-0142
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD036150E | PA | Primary |
Addresses
Primary practice location
337 W Main St
Leola, PA 17540-2109
Mailing address
4131 Oregon Pike
Suite C
Ephrata, PA 17522-9550
Phone (717) 859-5161
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50073068 | Other | BLUE CROSS | |
| 5640051 | Other | AETNA | |
| P006111 | Other | GATEWAY | |
| 000512226 | Other | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
175 Martin Ave
Ste 125
Ephrata, PA 17522
Phone (717) 812-4602
4131 Oregon Pike
#C
Ephrata, PA 17522
337 W Main St
Ste 100
Leola, PA 17540
Phone (717) 656-6122
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
Interoperability endpoints
- rgood@direct-address.net
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.
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- NPI 1104799428
-
- Plastic and Reconstructive Surgery Physician
- York, PA
- NPI 1245490515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1225073281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 OREGON PIKE",
"address_2": "SUITE C",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175229550",
"telephone_number": "717-859-5161",
"fax_number": "717-859-5169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 W MAIN ST",
"city": "LEOLA",
"state": "PA",
"postal_code": "175402109",
"telephone_number": "717-656-6122",
"fax_number": "717-656-0142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD036150E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "50073068",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5640051",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "P006111",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000512226",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leola, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.