Individual provider Active NPI

Wanda Marie Good, D.O.

  • Surgery Physician
  • Parker, CO
National Provider Identifier
1417286386
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OP60511036 Issued in WA
Practice address
9399 Crown Crest Blvd Ste 220
Parker, CO 80138-8508
Phone
(303) 805-1855
Fax
(303) 805-4421
NPI assigned
Dec 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 006318 AZ
Surgery Physician 208600000X DR0053484 CO
Student in an Organized Health Care Education/Training Program 390200000X OS014746 PA
Surgery Physician 208600000X OP60511036 WA Primary

Addresses

Primary practice location

9399 Crown Crest Blvd Ste 220
Parker, CO 80138-8508

Mailing address

9399 Crown Crest Blvd Ste 220
Parker, CO 80138-8508
Phone (303) 805-1855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141125001796 WA Practitioner - General Surgery 1254653496 Reassigns benefits to 2 organizations
I20240327001968 CO Practitioner - General Surgery 1254653496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chris B Winter MD PCGroup PAC ID 3870588601, 16 clinicians

Practice addresses (Care Compare)

9399 Crown Crest Blvd
Suite 220
Parker, CO 80138-8508
Phone (303) 805-1855

Hospital & facility affiliations

  • AdventHealth Parker Hospital, Parker, CO, CCN 060114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
006318AZMDSurgery Physician
DR0053484COMDSurgery Physician
OS014746PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Chris B Winter MD PC Surgery CurrentSince Mar 15, 2024 Accepting new patients
Lourdes Hospital LLC CurrentSince Sep 1, 2018 Accepting new patients
Lourdes Hospital LLC Surgery CurrentSince Sep 1, 2018 Accepting new patients
Chris B Winter MD PC Surgery CurrentSince Mar 15, 2024 Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Lourdes Hospital LLC Past Accepting new patients
Our Lady of Lourdes Hospital at Pasco Past Accepting new patients

Locations

2352 Meadows Blvd
Ste 250
Castle Rock, CO 80109
Phone (303) 214-4500

14000 E Arapahoe Rd
Ste 210
Centennial, CO 80112
Phone (303) 617-4300

9399 Crown Crest Blvd
Ste 325
Parker, CO 80138
Phone (303) 805-1855

9399 Crown Crest Blvd
Ste 220
Parker, CO 80138
Phone (303) 805-1855

7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027

1200 N 14th Ave
Ste 255
Pasco, WA 99301
Phone (509) 416-8895

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

507 N 5th Ave
Pasco, WA 99301
Phone (509) 543-1975

1200 N 14th Ave
Pasco, WA 99301
Phone (509) 547-7536

1175 Carondelet Dr
Richland, WA 99354
Phone (509) 943-9104

Interoperability endpoints

  • Direct secure messaging: wanda.good.1@15573.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1417286386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9399 CROWN CREST BLVD STE 220",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388508",
            "telephone_number": "303-805-1855",
            "fax_number": "303-805-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 CROWN CREST BLVD STE 220",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388508",
            "telephone_number": "303-805-1855",
            "fax_number": "303-805-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "WANDA",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "006318",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR0053484",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OS014746",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "OP60511036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.