Ken Goon

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

2013019065 Issued in MA

Practice address

273 Billings St
North Quincy, MA 02171-1803

Phone

(617) 686-3746

NPI assigned

Apr 21, 2014

Last updated

Apr 21, 2014By 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

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ken.goon@ccalliance.eclinicaldirectplus.com

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.

• Boston's Community Medical Group, Inc.

  dba CCA Primary Care

  • Primary Care Clinic/Center
  • Boston, MA
  • NPI 1235174418
  Medicare reassignment NPD
• Commonwealth Clinical Alliance, Inc

  • Case Manager/Care Coordinator
  • Boston, MA
  • NPI 1679605091
  Medicare reassignment NPD

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1326468083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 BILLINGS ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021711803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 BILLINGS ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021711803",
            "telephone_number": "617-686-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOON",
        "first_name": "KEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "2013019065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail P Fernando, DMD
• Russell Barry Fox, DMD
• Gail Fernando DMD, PC
• Allison Patrice Gates, LMHC
• Kathleen Michelle Wilbur Gifford, LICSW
• Abigail Josephine Granigan, MSW
• Karin Janet Hemmingsen, M.D.
• Charlette Hines, FNP
• Jeanne Marie Theresa Hopkins, O.D.
• Michael C Jernigan, M.D.

• Acute Care Nurse Practitioner in North Quincy, MA
• Providers in North Quincy, MA by specialty
• Acute Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.

Verify at the official NPI Registry.