Good Shepherd Community Doctors Office

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

RN245640 Issued in OH

Legal business name

GOOD SHEPHERD COMMUNITY DOCTORS OFFICE

Practice address

30 W Front St
Youngstown, OH 44503-1417

Phone

(330) 782-2800

Fax

(330) 746-2855

NPI assigned

Aug 5, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Yvette Etna Thornton, RN

Title

Ceo

Phone

(330) 782-2800

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1912138157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W FRONT ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445031417",
            "telephone_number": "330-782-2800",
            "fax_number": "330-746-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W FRONT ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445031417",
            "telephone_number": "330-782-2800",
            "fax_number": "330-746-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD COMMUNITY DOCTORS OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "ETNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-782-2800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "OH",
            "license": "RN245640",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": "RN245640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco Gonzalez Jr.
• Jose Domingo Gonzalez, LSW
• Rebecca Jo Gonzalez, LSW
• Melissa Gooch
• Good Deed Transportation
• Matthew Francis Good, R.D, L.D.
• Kyle Goodbee, DIPLOMA
• Shalia Goode
• Mackenzie Goodin
• Sharon Lynn Goodin, LISW, MSW

• Health Service Clinic/Center in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.