Katherine Anne Goodrich, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

0110-004652 Issued in VA

Practice address

242 Huntley Ave
Charlottesville, VA 22903-2988

Phone

(317) 201-0973

NPI assigned

Apr 11, 2012

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: katherine.goodrich.1@27835.direct.athenahealth.com

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.

• Martha Jefferson Hospital

  dba Sentara Endoscopy Center

  • Endoscopy Clinic/Center
  • Charlottesville, VA
  • NPI 1942189022
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1861758187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 HUNTLEY AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032988",
            "telephone_number": "317-201-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 HUNTLEY AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032988",
            "telephone_number": "317-201-0973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3263 Proffit Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229115639",
            "country_code": "US",
            "telephone_number": "434-654-5575",
            "fax_number": "434-654-5574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "595 Martha Jefferson Dr Ste 180",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229114669",
            "country_code": "US",
            "telephone_number": "434-654-5575",
            "fax_number": "434-654-5574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Hickman Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229113554",
            "country_code": "US",
            "telephone_number": "434-326-5815",
            "fax_number": "434-326-5820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110-004652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard P. Goodkin
• Richard Tait Goodling, MSW
• Paige Maddox Goodloe
• Linnea Rose Goodman, MD
• Matthew J. Goodman, M.D.
• Robyn Goodrich, MD
• Cara Goodwin
• Gertrude White Goodwin, LPC, ATR
• Zachary Matthew Gopin
• Julian Alexandre Gordon, MD

• Surgical Physician Assistant in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Surgical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.