Active NPI
Riley Richard Goodrich, PA-C
- Physician Assistant
- South Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAN1826
- Practice address
- 100 Foden Rd, East
Ste 203
South Portland, ME 04106-2327 - Phone
- (207) 874-1489
- Fax
- (207) 523-8590
- NPI assigned
- Aug 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAN1826 | ME | Primary |
Addresses
Primary practice location
100 Foden Rd, East
Ste 203
South Portland, ME 04106-2327
Mailing address
100 Gannett Dr Ste C
South Portland, ME 04106-5900
Phone (207) 347-2947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Foden Rd
South Portland, ME 04106-2327
Phone (207) 874-1489
100 Foden Rd W
Suite 100
South Portland, ME 04106-2327
Phone (207) 523-3900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAN1826 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Medical Partners | Multi-Specialty | Current | Accepting new patients |
| Maine Medical Partners | Multi-Specialty | Current | Accepting new patients |
| Intermed, PA | Multi-Specialty | Current | Accepting new patients |
| Intermed, PA | Multi-Specialty | Current | Accepting new patients |
Locations
100 Campus Dr
Unit 107
Scarborough, ME 04074
Phone (207) 396-7565
100 Foden Rd
South Portland, ME 04106
Phone (207) 828-1122
100 Foden Rd
Ste W-100
South Portland, ME 04106
Phone (207) 523-3900
100 Foden Rd
Ste 203
South Portland, ME 04106
Phone (207) 874-1489
100 Foden Rd
Ste 100
South Portland, ME 04106
Phone (207) 874-1489
100 Gannett Dr
Ste C
South Portland, ME 04106
Phone (207) 523-3649
Interoperability endpoints
- riley.goodrich@int.eclinicaldirectplus.com
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.
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- Pediatric Hematology & Oncology Physician
- Scarborough, ME
- NPI 1073527388
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1346720653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GANNETT DR STE C",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065900",
"telephone_number": "207-347-2947",
"fax_number": "207-874-2317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FODEN RD, EAST",
"address_2": "STE 203",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062327",
"telephone_number": "207-874-1489",
"fax_number": "207-523-8590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODRICH",
"first_name": "RILEY",
"middle_name": "RICHARD",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-16",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "ME",
"license": "PAN1826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.