Individual provider Active NPI

Cynthia Jane Good, MD

  • Family Medicine Physician
  • Eden Prairie, MN
National Provider Identifier
1538112784
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0010143 Issued in DE
Practice address
16490 W 78TH St
Eden Prairie, MN 55346-4300
Phone
(302) 998-2417
Fax
(302) 998-2485
NPI assigned
May 18, 2006
Last updated
Nov 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD042587-L PA
Family Medicine Physician 207Q00000X C1-0010143 DE Primary

Addresses

Primary practice location

16490 W 78TH St
Eden Prairie, MN 55346-4300

Mailing address

3926 Kirkwood Hwy
Wilmington, DE 19808-5110
Phone (302) 998-2417

Other identifiers 1

IdentifierTypeStateIssuer
001249580MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050317000945 PA Practitioner - Family PracticePractitioner - Emergency Medicine 8820043268 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0010143DEMDFamily Medicine Physician
MD042587-LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 1, 2011 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 1, 2011 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
Heritage Valley Medical Group Inc. Past Accepting new patients
Medexpress, Inc - Delaware Family Medicine Past Accepting new patients
Southern Chester County Emergency Room Associates PC Past Accepting new patients
Conemaugh Valley Memorial Hospital Past Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania Past Accepting new patients
Medexpress Urgent Care Minnesota P.C. Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Medexpress Urgent Care, PC - Monaca Past Accepting new patients
Medexpress Urgent Care Minnesota, P.C. PastSince Jan 2, 2017 Accepting new patients

Locations

50 Freeport Rd
Ste 500
Aspinwall, PA 15215
Phone (412) 782-3278

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

5126 State Route 30
Ste 300
Greensburg, PA 15601
Phone (724) 836-3027

8702 University Blvd
Moon Twp, PA 15108
Phone (412) 299-3627

1984 Greentree Rd
Pittsburgh, PA 15220
Phone (412) 343-3627

3433 William Penn Hwy
Pittsburgh, PA 15235
Phone (412) 825-3627

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

695 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 653-5556

325 McClellandtown Rd
Uniontown, PA 15401
Phone (724) 439-3627

2600 Old Washington Rd
Ste 150
Upper St Clair, PA 15241
Phone (412) 854-3627

460 Washington Rd
Ste 7
Washington, PA 15301
Phone (724) 225-3627

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1538112784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085110",
            "telephone_number": "302-998-2417",
            "fax_number": "302-998-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16490 W 78TH ST",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553464300",
            "telephone_number": "302-998-2417",
            "fax_number": "302-998-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "CYNTHIA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD042587-L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0010143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001249580",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.