Individual provider Active NPI

Susan Mary Goodner, MD

  • Family Medicine Physician
  • Kalona, IA
National Provider Identifier
1689855926
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23664 Issued in IA
Practice address
504 C. Avenue
Kalona, IA 52247-9743
Phone
(319) 656-4333
NPI assigned
Nov 15, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23664 IA Primary

Addresses

Primary practice location

504 C. Avenue
Kalona, IA 52247-9743

Mailing address

1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone (563) 262-4110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23664IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa Past Accepting new patients
Mercy Services Iowa City, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1689855926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 MULBERRY AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613433",
            "telephone_number": "563-262-4110",
            "fax_number": "563-264-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 C. AVENUE",
            "city": "KALONA",
            "state": "IA",
            "postal_code": "522479743",
            "telephone_number": "319-656-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODNER",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "23664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.