Dennis Good, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5163 Issued in AZ

Practice address

15571 N Reems Rd
Surprise, AZ 85374-9584

Phone

(623) 544-6932

Fax

(623) 321-1070

NPI assigned

Jul 20, 2012

Last updated

Jul 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Island Cardiovascular and Vein Institute LLCGroup PAC ID 0547667222, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kona Community Hospital Hospital, Kealakekua, HI, CCN 120019

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Island Cardiovascular & Vein Institute LLC

  • Interventional Cardiology Physician
  • Kailua Kona, HI
  • NPI 1881362739
  Medicare reassignment Care Compare group
• Russell N Harada MD Inc

  • Specialist
  • Aiea, HI
  • NPI 1528223971
  Medicare reassignment
• Vein Clinics of Hawaii LLC

  • Vascular Surgery Physician
  • Kamuela, HI
  • NPI 1528307006
  Medicare reassignment
• Lpwallmd PC

  • Vascular Surgery Physician
  • Scottsdale, AZ
  • NPI 1457168643
  NPD (past)
• Cardiovascular and Thoracic Surgeons of the South, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Covington, LA
  • NPI 1215070503
  NPD (past)
• Hawaii Cardiology, Inc

  • Cardiovascular Disease Physician
  • Kamuela, HI
  • NPI 1821099144
  NPD (past)

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

• Kona Hospital

  dba Kona Community Hospital

  • General Acute Care Hospital
  • Kealakekua, HI
  • NPI 1952332991
  Care Compare affiliation

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1538414909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15571 N REEMS RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749584",
            "telephone_number": "623-544-6932",
            "fax_number": "623-321-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15571 N REEMS RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749584",
            "telephone_number": "623-544-6932",
            "fax_number": "623-321-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "DENNIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Care Network LLC
• Good Health Medical, PLLC (My Dr Now)
• Good Health Medical, PLLC
• Good Health Medical, PLLC (My Dr Now)
• Good Health Medical, PLLC
• Mariah Goodell
• Lisa Kay Goodin, RPH
• Benjamin Matthew Goozen, PHARM D.
• Gordon G. Williamson, DDS, PC
• Michelle Gordon, FNP-C

• Medical Physician Assistant in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.

Verify at the official NPI Registry.