Individual provider Active NPI

Benjamin E. Good, M.D.

  • Emergency Medicine Physician
  • Elma, WA
National Provider Identifier
1730408964
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M-13807 Issued in ID
Practice address
600 E. Main Street
Elma, WA 98541
Phone
(360) 346-2222
Fax
(360) 346-2161
NPI assigned
May 27, 2010
Last updated
Jan 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M-13807 ID Primary
Emergency Medicine Physician 207P00000X MD60390369 WA

Addresses

Primary practice location

600 E. Main Street
Elma, WA 98541

Mailing address

600 E. Main Street
Elma, WA 98541
Phone (360) 346-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20171002000643 ID Practitioner - Emergency Medicine 0840429890 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
George Washington University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonner General Hospital IncGroup PAC ID 4082690466, 47 clinicians

Practice addresses (Care Compare)

520 N 3Rd Ave
Sandpoint, ID 83864-1507
Phone (208) 263-0649

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bonner General Hospital, Inc. CurrentSince Jul 28, 2017 Accepting new patients
Bonner General Hospital Inc. Emergency Medicine CurrentSince Jul 25, 2017 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 6, 2022 Accepting new patients
Kootenai Health, Inc. Emergency Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Idaho- Nampa PLLC Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
Boundary Community Hospital CurrentSince Feb 26, 2021 Accepting new patients
Boundary Community Hospital CurrentSince Feb 26, 2021 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 6, 2022 Accepting new patients
Boundary Community Hospital Past Accepting new patients

Locations

6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

423 N Third Ave
Ste 210
Sandpoint, ID 83864
Phone (208) 263-1441

520 N Third Ave
Sandpoint, ID 83864
Phone (208) 263-0649

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1730408964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E. MAIN STREET",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "98541",
            "telephone_number": "360-346-2222",
            "fax_number": "360-346-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E. MAIN STREET",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "98541",
            "telephone_number": "360-346-2222",
            "fax_number": "360-346-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "BENJAMIN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M-13807",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60390369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, WA

Sources for this page

Verify at the official NPI Registry.