Individual provider Active NPI

Breeze M Goodrich, MD

  • Obstetrics & Gynecology Physician
  • Canton, OH
National Provider Identifier
1285848333
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-090805 Issued in OH
Practice address
4151 Holiday St NW
Canton, OH 44718-2531
Phone
(330) 492-8001
Fax
(330) 492-2080
NPI assigned
May 9, 2007
Last updated
Jun 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35-090805 OH Primary

Addresses

Primary practice location

4151 Holiday St NW
Canton, OH 44718-2531

Mailing address

4151 Holiday St NW
Canton, OH 44718-2531
Phone (330) 492-8001

Other names 1

  • Breeze M Roberts Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100105000020 OH Practitioner - Obstetrics/Gynecology 9032250618 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northeastern Ohio University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Community Health CenterGroup PAC ID 3971884636, 27 clinicians
Atrium OB/GYN., Inc.Group PAC ID 2163473091, 8 clinicians

Practice addresses (Care Compare)

2600 7TH St SW
Canton, OH 44710-1709
Phone (330) 363-6242

4151 Holiday St NW
Canton, OH 44718-2531
Phone (330) 649-4218

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-090805OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Ohio Corp Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Alliance Family Health Center, Inc CurrentSince Oct 1, 2016 Accepting new patients
Aultman Hospital CurrentSince Feb 11, 2019 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Aug 4, 2015 Accepting new patients
Danielle Kiko MD LLC CurrentSince Oct 1, 2024 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Aug 4, 2015 Accepting new patients
Ohio Physician Professional Corporation CurrentSince Aug 1, 2010 Accepting new patients
My Community Health Center Obstetrics & Gynecology CurrentSince Dec 24, 2016 Accepting new patients
Aultman Hospital Current Accepting new patients
My Community Health Center Obstetrics & Gynecology CurrentSince Dec 24, 2016 Accepting new patients
Aultman Hospital CurrentSince Feb 11, 2019 Accepting new patients
Alliance Family Health Center, Inc Obstetrics & Gynecology CurrentSince Oct 1, 2016 Accepting new patients

Locations

1401 S Arch Ave
Ste A
Alliance, OH 44601
Phone (330) 249-7011

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 7th St SW
Canton, OH 44710
Phone (330) 363-6242

6555 Frank Ave NW
North Canton, OH 44720
Phone (330) 956-5300

Interoperability endpoints

  • Direct secure messaging: breeze.goodrich.1@10709.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16473/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1285848333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182531",
            "telephone_number": "330-492-8001",
            "fax_number": "330-492-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182531",
            "telephone_number": "330-492-8001",
            "fax_number": "330-492-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "BREEZE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-090805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREEZE",
            "last_name": "ROBERTS",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.