Mark Gooding, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.002786 Issued in OH

Practice address

4777 E Galbraith Rd
Internal Medicine
Cincinnati, OH 45236-2725

Phone

(513) 266-2404

Fax

(513) 398-9198

NPI assigned

Apr 9, 2009

Last updated

Aug 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Housecalls LLCGroup PAC ID 6709024268, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Housecalls LLC

  dba Supportive Healthcare

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1962745083
  Medicare reassignment Care Compare group
• Supportive Healthcare Skilled LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1316838352
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Ohio, Professional Corporation

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1043572290
  Medicare reassignment
• Kenwood Hospitalists, LLC

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1912953951
  NPD (past)
• Montgomery Hospitalists LLC

  • Hospitalist Physician
  • Cincinnati, OH
  • NPI 1013158815
  NPD (past)

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1922241629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 E GALBRAITH RD",
            "address_2": "INTERNAL MEDICINE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 E GALBRAITH RD",
            "address_2": "INTERNAL MEDICINE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362725",
            "telephone_number": "513-266-2404",
            "fax_number": "513-398-9198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Yellow Springs St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455042650",
            "country_code": "US",
            "telephone_number": "513-834-7063",
            "fax_number": "513-873-1567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODING",
        "first_name": "MARK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002786",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.002786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valencia Lynn Gooden, LCSW
• Katherine Emma Goodfellow, MD
• Martha Ann Goodfriend, RN,BSN, M.ED.
• Carl V Goodin, DPM
• Jeanine Goodin, MSN, APRN, CNP, CNRN
• Megan Kathleen Gooding, PCC-S
• Tawana M'Antay Gooding, LPN
• Thomas Michael Gooding, ATC
• Deborah Goodlander, MD
• Isabella Goodlander

• Medical Physician Assistant in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; 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.