Julieanne P Goodrich, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3827 Issued in MA

Practice address

2100 Dorchester Ave
Suite 2206
Dorchester Center, MA 02124-5615

Phone

(781) 337-0201

Fax

(781) 337-6742

NPI assigned

Sep 16, 2009

Last updated

Sep 16, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Greater Boston Urology, LLC

  dba Mass Bay Urology

  • Urology Physician
  • Dorchester, MA
  • NPI 1376845958
  NPD (past)
• Mass Bay Urologic Assoc

  • Urology Physician
  • Dorchester Center, MA
  • NPI 1730189341
  NPD (past)

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1831422245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 NEPONSET ST",
            "address_2": "APT 1309",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DORCHESTER AVE",
            "address_2": "SUITE 2206",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245615",
            "telephone_number": "781-337-0201",
            "fax_number": "781-337-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "JULIEANNE",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA3827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Douglas Gladstone, M.D.
• Clifford D Gluck, M.D.
• Scott Barry Goetz, MD
• Ronald F. Gomes, M.D.
• Sarah Gonzalez I, M.A
• Tamar Gousse
• Luke M Griffith, MS CCC SLP
• Ricardo Guevara, DDS
• Haitian Adult Daycare, LLC
• Vivian P Halfin, M.D.

• Physician Assistant in Dorchester Center, MA
• Providers in Dorchester Center, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.