Individual provider Active NPI

Robert L Goodson, CRNA

  • Certified Registered Nurse Anesthetist
  • Weston, WV
National Provider Identifier
1780178111
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
83749 Issued in WV
Practice address
230 Hospital PLZ
Weston, WV 26452-8558
Phone
(304) 269-8000
NPI assigned
Jun 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 83749 WV Primary

Addresses

Primary practice location

230 Hospital PLZ
Weston, WV 26452-8558

Mailing address

327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (304) 285-7101

Other practice location 1

327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (304) 285-7101

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rgoodson16904@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address rgoodson16904@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180724002341 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042567950 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stonewall Jackson Memorial Hospital CompanyGroup PAC ID 4284530551, 64 clinicians
United Hospital Center IncGroup PAC ID 8123936010, 290 clinicians
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

230 Hospital PLZ
Weston, WV 26452-8558
Phone (304) 269-8000

327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-3153

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

Hospital & facility affiliations

  • Stonewall Jackson Memorial Hospital Company Hospital, Weston, WV, CCN 510038
  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058
  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
83749WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
United Hospital Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 18, 2018 Accepting new patients
United Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 17, 2025 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Jan 10, 2025 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Jan 9, 2025 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Jan 9, 2025 Accepting new patients
United Hospital Center, Inc. CurrentSince Jun 18, 2018 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

608 Washington Blvd
Belpre, OH 45714
Phone (304) 422-3904

916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

601 Avery St
Ste 501
Parkersburg, WV 26101
Phone (304) 422-3904

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

Interoperability endpoints

  • Direct secure messaging: rgoodson16904@direct.wvuhsdirect.com

Organizations & group practices 7

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 4

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1780178111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 MEDICAL PARK DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309006",
            "telephone_number": "304-285-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HOSPITAL PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264528558",
            "telephone_number": "304-269-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263309006",
            "country_code": "US",
            "telephone_number": "304-285-7101",
            "fax_number": "304-293-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODSON",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "83749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgoodson16904@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "327 Medical Park Dr",
            "city": "Bridgeport",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263309006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgoodson16904@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "327 Medical Park Dr",
            "city": "Bridgeport",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263309006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.