Mark H Gooch, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35.056990 Issued in OH

Practice address

2135 Dana Ave
Ste 310
Cincinnati, OH 45207-1313

Phone

(513) 221-7788

Fax

(513) 487-5223

NPI assigned

Jun 1, 2005

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 3

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

Ophthalmology

Education

University of Louisville School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-State Centers for Sight IncGroup PAC ID 7113812090, 37 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tri-State Centers for Sight, Inc.

  • Ophthalmology Physician
  • Cincinnati, OH
  • NPI 1912232505

  OH, Ophthalmology

  Medicare reassignment Care Compare group NPD
• Tri-State Centers for Sight, Inc.

  • Ophthalmology Physician
  • Cincinnati, OH
  • NPI 1114094802

  Ophthalmology

  NPD
• Tri-State Centers for Sight Inc

  • Ophthalmology Physician
  • Maysville, KY
  • NPI 1922811470

  Ophthalmology

  NPD
• Tri-State Centers for Sight Inc

  • Ophthalmology Physician
  • Corbin, KY
  • NPI 1932912466

  Ophthalmology

  NPD
• Tri-State Centers for Sight, Inc.

  • Ophthalmology Physician
  • Crestview Hills, KY
  • NPI 1467520296

  Ophthalmology

  NPD
• Cincinnati Health Care Group PSC

  • Ambulatory Surgical Clinic/Center
  • Crestview Hills, KY
  • NPI 1881616357
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1861494098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631662",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631662",
            "telephone_number": "859-581-7120",
            "fax_number": "859-581-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 DANA AVE",
            "address_2": "STE 310",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452071313",
            "telephone_number": "513-221-7788",
            "fax_number": "513-487-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "MARK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.056990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0706276",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180021893",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64861727",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Rose Gonzalez, AUD
• Karen Y Gonzalez
• Meagan Gonzalez
• Tammy Gonzalez
• Lynne K Goocey, APRN
• Good Green Life, LLC
• Good Hope LLC
• Good Life Counseling Services LLC
• Good Samaritan Hospital
• Good Samaritan Hospital

• All providers in Cincinnati, OH
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.