Amanda Christine Goodale, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34.011666 Issued in OH

Practice address

1775 W Lexington
Suite 100
Cincinnati, OH 45212-3589

Phone

(513) 977-6700

Fax

(513) 531-2624

NPI assigned

Apr 4, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Christine Farrell Former name

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Family Practice

Education

Ohio University, College of Osteopathic Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bethesda Family Practice CenterGroup PAC ID 7012905292, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bethesda North Hospital, Cincinnati, OH, CCN 360179

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: afarrell76791@direct.trihealth.com

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.

• Bethesda Family Practice Center

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1124061494
  Medicare reassignment Care Compare group NPD
• Trihealth G LLC

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1336242726

  Family Medicine

  NPD (past)

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

• Bethesda Hospital Inc

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1396714663
  Care Compare affiliation

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1720344757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 W LEXINGTON",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123589",
            "telephone_number": "513-977-6700",
            "fax_number": "513-531-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 W LEXINGTON",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123589",
            "telephone_number": "513-977-6700",
            "fax_number": "513-531-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODALE",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.011666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FARRELL",
            "middle_name": "CHRISTINE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Good Samaritan Hospital
• Good Samaritan Outpatient Pharmacy
• Good Support Home Care
• Good Therapy
• Adam Goodale, M.D.
• Cristy Ann Goodall, APRN
• Grant Steven Goodall
• Kemi Goode-Mayo, NURSE PRACTITIONER
• Geneva Laverne Goode, MSN, RN
• Denishea Latrice Gooden

• Family Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.