Alan R Goodrich, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

34.006995 Issued in OH

Practice address

335 Glessner Ave
Mansfield, OH 44903-2269

Phone

(330) 493-4443

NPI assigned

Feb 8, 2007

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: agoodrichdo169375@direct.ccf.org

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.

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment NPD
• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Emergency Medicine Physicians of Cuyahoga County, LTD

  • Emergency Medicine Physician
  • Akron, OH
  • NPI 1265471148
  NPD (past)
• Emergency Medicine Physicians of Lake Medina, LTD

  • Emergency Medicine Physician
  • Medina, OH
  • NPI 1669759957
  NPD (past)
• Emergency Medicine Physicians of Medina County, LTD

  • Emergency Medicine Physician
  • Lodi, OH
  • NPI 1457390312
  NPD (past)
• Emergency Medicine Physicians of Richland County, LTD

  • Emergency Medicine Physician
  • Mansfield, OH
  • NPI 1952341380
  NPD (past)
• Emergency Medicine Physicians of Wadsworth, LTD.

  • Emergency Medicine Physician
  • Wadsworth, OH
  • NPI 1184663114
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1730229626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-493-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032269",
            "telephone_number": "330-493-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "ALAN",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.006995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114607",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gonzalez Keiffer
• Jared A Good
• Raynell R Good
• Jessica Gooden, DPT
• George Rayford Goodman, LPCC-S
• Kathleen Goodwin
• Mark Googins, LPC
• Allison Goon
• Bethany C Gordon
• Kimberly Moneke Gordon

• Emergency Medicine Physician in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.