Good Shepherd Geriatric Center, Inc.

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

Legal business name

GOOD SHEPHERD GERIATRIC CENTER, INC.

Practice address

302 2ND St NE
Mason City, IA 50401-3412

Phone

(641) 424-1740

NPI assigned

Nov 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anne Demaris

Title

BKPR

Phone

(641) 424-1740

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639243496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 2ND ST NE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 2ND ST NE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013412",
            "telephone_number": "641-424-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD GERIATRIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMARIS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "BKPR",
        "authorized_official_telephone_number": "641-424-1740"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106872",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good Shepherd Geriatric Center Inc
• Good Shepherd Geriatric Center, Inc.
• Good Shepherd Geriatric Center, Inc.
• Good Shepherd Geriatric Center, Inc.
• Good Shepherd Geriatric Center, Inc.
• Good Shepherd Geriatric Center, Inc. (Good Shepherd Health Center, Inc)
• Good Shepherd Geriatric Center, Inc.
• Good Shepherd Geriatric Center, Inc.
• Susan Ann Goranson
• Paul H Gordon, MD

• Adult Development & Aging Psychologist in Mason City, IA
• Providers in Mason City, IA by specialty
• Adult Development & Aging Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.