Tommy Goodroe

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

863 N Pine Rd Ste a
Essexville, MI 48732-2159

Phone

(989) 928-3566

NPI assigned

Mar 23, 2021

Last updated

Mar 23, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Recovery Pathways, LLC

  • Medical Specialty Clinic/Center
  • Bay City, MI
  • NPI 1720314008
  NPD

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1689250300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 N PINE RD STE A",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487322159",
            "telephone_number": "989-928-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 N PINE RD STE A",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487322159",
            "telephone_number": "989-928-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODROE",
        "first_name": "TOMMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tgoodroe@recoverypathwaysllc.com",
            "affiliation": "N",
            "address_1": "863 N Pine Rd Ste A",
            "city": "Essexville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487322159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane Rapson Gabil
• Kristi Lea Geno, OTR/L
• Jessica Gibson, DO
• Jonathan David Gibson
• Mira Gokhale, RPH
• Rashmi Goyal, MD
• Alexandria Greenhoe
• Gregory J. Dardas, M.D., P.C.
• Michael Grills, RN
• Heidi Lynette Gross

• Peer Specialist in Essexville, MI
• Providers in Essexville, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.