Individual provider Active NPI

Jeffrey M Good, MD

  • Obstetrics & Gynecology Physician
  • Boca Raton, FL
National Provider Identifier
1346223286
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME 98053 Issued in FL
Practice address
8177 Glades Rd
Bay # 25
Boca Raton, FL 33434-4071
Phone
(561) 226-4116
Fax
(561) 939-1343
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 46071 MA
Obstetrics & Gynecology Physician 207V00000X ME 98053 FL Primary

Addresses

Primary practice location

8177 Glades Rd
Bay # 25
Boca Raton, FL 33434-4071

Mailing address

8177 Glades Rd
Bay # 25
Boca Raton, FL 33434-4071
Phone (561) 226-4116

Other identifiers 1

IdentifierTypeStateIssuer
0108774MedicaidMA

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 98053FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewater Goddard Park Medical Associates, Inc. Past Accepting new patients
Planned Parenthood of Florida, Inc. Obstetrics & Gynecology PastSince Feb 20, 2016 Accepting new patients
Planned Parenthood of Florida, Inc.S Past Accepting new patients
Signature Healthcare Medical Group Inc Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1346223286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8177 GLADES RD",
            "address_2": "BAY # 25",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344071",
            "telephone_number": "561-226-4116",
            "fax_number": "561-939-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8177 GLADES RD",
            "address_2": "BAY # 25",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344071",
            "telephone_number": "561-226-4116",
            "fax_number": "561-939-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "46071",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 98053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108774",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.