Good Shepherd Family& Geriatriac Medical Center Inc

Primary specialty

Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X

License

35093757 Issued in OH

Legal business name

GOOD SHEPHERD FAMILY& GERIATRIAC MEDICAL CENTER INC

Practice address

1661 Holland Rd
Maumee, OH 43537-4207

Phone

(630) 854-2515

Fax

(419) 740-7288

NPI assigned

May 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kamal NT Yoakim, MD

Title

Family Physician

Phone

(630) 854-2515

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1649599408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 EMBER DR",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436161716",
            "telephone_number": "630-854-2515",
            "fax_number": "419-740-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 HOLLAND RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374207",
            "telephone_number": "630-854-2515",
            "fax_number": "419-740-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD FAMILY& GERIATRIAC MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "YOAKIM",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "NT",
        "authorized_official_title_or_position": "FAMILY PHYSICIAN",
        "authorized_official_telephone_number": "630-854-2515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "OH",
            "license": "35093757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3043030",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Gofman
• Chit-Guan Goh, MD
• Erica J Gomez, CDCA
• Kristine M Gonzales, MSW, LSW
• Rhonda Hope Gonzales
• Good Shepherd Senior Care
• Joel Good
• Matthew Goode
• Jodi A Gore, LISW-S
• Kathleen E. Gorman-Ezell, L.I.S.W.

• Non-Surgical Family Planning Clinic/Center in Maumee, OH
• Providers in Maumee, OH by specialty
• Non-Surgical Family Planning Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.