Active NPI
Grant Steven Goodall
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA 15524 NA
- Practice address
- 234 Goodman St
Cincinnati, OH 45219-2364 - Phone
- (513) 585-5502
- NPI assigned
- Dec 8, 2013
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | COA 15524 NA | OH | Primary |
Addresses
Primary practice location
234 Goodman St
Cincinnati, OH 45219-2364
Mailing address
234 Goodman St
Cincinnati, OH 45219-2364
Phone (513) 585-5502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311105593006 | Other | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Cincinnati College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000
Hospital & facility affiliations
- University of Cincinnati Medical Center, LLC
- West Chester Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 65.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA 15524 NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Physicians Company, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
200 Albert Sabin Way
Cincinnati, OH 45267
Phone (513) 475-7500
3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
7700 University Dr
West Chester, OH 45069
Phone (513) 298-3000
Interoperability endpoints
- ggoodall26876@direct.uchealth.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1376974907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 GOODMAN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192364",
"telephone_number": "513-585-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 GOODMAN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192364",
"telephone_number": "513-585-5502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODALL",
"first_name": "GRANT",
"middle_name": "STEVEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-08",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA 15524 NA",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "311105593006",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.