NPIMap

Individual provider Active NPI

Ginger Suzanne Goodchild, D.O.

  • Family Medicine Physician
  • Granbury, TX
National Provider Identifier
1306894894
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L1867 Issued in TX
Practice address
2200 James Rd
Granbury, TX 76049-8207
Phone
(817) 326-2727
Fax
(817) 326-5737
NPI assigned
May 5, 2006
Last updated
Dec 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L1867 TX Primary

Addresses

Primary practice location

2200 James Rd
Granbury, TX 76049-8207

Mailing address

9410 Ravenswood Rd
Granbury, TX 76049-4522
Phone (817) 326-2727

Other identifiers 1

IdentifierTypeStateIssuer
152036301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120227000539 TX Practitioner - Family Practice 6901064674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Fort Worth School of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Group practices
G. Suzanne Goodchild D.O., P.a.Group PAC ID 5092973768, 2 clinicians

Practice addresses (Care Compare)

2200 James Rd
Granbury, TX 76049-8207
Phone (817) 326-2727

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
G. Suzanne Goodchild D.O., P.a. CurrentSince Aug 1, 2002 Accepting new patients
Premier Orthopedics of Fort Worth, PA Past Accepting new patients

Locations

2200 James Rd
Granbury, TX 76049
Phone (817) 326-2727

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1306894894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 RAVENSWOOD RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760494522",
            "telephone_number": "817-326-2727",
            "fax_number": "817-326-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 JAMES RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760498207",
            "telephone_number": "817-326-2727",
            "fax_number": "817-326-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODCHILD",
        "first_name": "GINGER",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152036301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.