Individual provider Active NPI

Amy Marie Goff, D.O.

  • Family Medicine Physician
  • Eaton, OH
National Provider Identifier
1720141252
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.013747 Issued in OH
Practice address
550 Hallmark Dr
Eaton, OH 45320-8648
Phone
(937) 456-4181
Fax
(937) 456-4649
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2959 WV
Family Medicine Physician 207Q00000X 34.013747 OH Primary
Family Medicine Physician 207Q00000X 20A8044 CA

Addresses

Primary practice location

550 Hallmark Dr
Eaton, OH 45320-8648

Mailing address

1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (937) 456-4181

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agoff336209@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190306000941 OH Practitioner - Family Practice 4183619612 Reassigns benefits to 1 organization
I20200630002066 IN Practitioner - Family Practice 4183619612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1501 Chester Blvd
Richmond, IN 47374-1914
Phone (765) 935-1905

550 Hallmark Dr
Eaton, OH 45320-8648
Phone (937) 456-4181

Hospital & facility affiliations

  • Reid Home Health Home health agency, Eaton, OH, CCN 367254
  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Reid Health Hospital, Richmond, IN, CCN 150048
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • McCullough-Hyde Memorial Hospital Hospital, Oxford, OH, CCN 360046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8044CAMDFamily Medicine Physician
34.013747OHMDFamily Medicine Physician
2959WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc CurrentSince Mar 25, 2019 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Mar 25, 2019 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine Past Accepting new patients

Locations

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1501 Chester Blvd
Richmond, IN 47374
Phone (765) 935-1905

795 Sim Hodgin Pkwy
Richmond, IN 47374
Phone (765) 966-5949

550 Hallmark Dr
Ste 1
Eaton, OH 45320

550 Hallmark Dr
Eaton, OH 45320
Phone (937) 456-1195

Interoperability endpoints

  • Direct secure messaging: agoff336209@reidhealth.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1720141252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "937-456-4181",
            "fax_number": "937-456-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HALLMARK DR",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453208648",
            "telephone_number": "937-456-4181",
            "fax_number": "937-456-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2959",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.013747",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agoff336209@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "550 Hallmark Dr",
            "city": "Eaton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453208648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eaton, OH

Sources for this page

Verify at the official NPI Registry.