Active NPI
Joel Good
- Physical Medicine & Rehabilitation Physician
- Maumee, OH
National Provider Identifier
1376073718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 08348
- Practice address
- 3231 Manley Rd
Maumee, OH 43537-9680 - Phone
- (419) 865-1248
- NPI assigned
- Jun 18, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 08348 | OH | Primary |
Addresses
Primary practice location
3231 Manley Rd
Maumee, OH 43537-9680
Mailing address
6648 Pisgah Rd
Mechanicsburg, OH 43044
Phone (937) 508-7373
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08348 | OH | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497744000000",
"number": "1376073718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6648 PISGAH RD",
"city": "MECHANICSBURG",
"state": "OH",
"postal_code": "43044",
"telephone_number": "937-508-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 MANLEY RD",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435379680",
"telephone_number": "419-865-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "JOEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-18",
"last_updated": "2017-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "08348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.