Amber Goodenow

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

TMA053110 Issued in PA

Practice address

108 Horner LN
One Children's Hospital Drive
Latrobe, PA 15650-5215

Phone

(724) 537-2131

NPI assigned

Sep 6, 2016

Last updated

May 24, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 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.

• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment Care Compare group
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• University of Pittsburgh Physicians

  • Otolaryngology Physician
  • Pittsburgh, PA
  • NPI 1992761308
  NPD
• Christine Cheng-Florendo

  dba Kids Care Pediatrics Incorporated

  • Pediatrics Physician
  • Latrobe, PA
  • NPI 1164641692
  NPD (past)
• Pediatrics of Westmoreland, LTD

  • Pediatrics Physician
  • Greensburg, PA
  • NPI 1912099193
  NPD (past)
• Upmc Emergency Medicine Inc

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1891744041
  NPD (past)

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1972050151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HORNER LN",
            "address_2": "ONE CHILDREN'S HOSPITAL DRIVE",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HORNER LN",
            "address_2": "ONE CHILDREN'S HOSPITAL DRIVE",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505215",
            "telephone_number": "724-537-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODENOW",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "TMA053110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHP@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mallory Nicole Gergely
• Giant Eagle Inc (Giant Eagle Pharmacy 0082)
• Cynthia C Gladora, CRNA
• Scott Ivan Gobin
• Joseph Ronald Golden Jr., LPC
• Anna Nash Gorman, MD
• Matthew Govora
• Greater Latrobe School District
• Greg Miscik & Counseling Associates (Counseling Associates)
• Gregory R Lauro PC

• Medical Physician Assistant in Latrobe, PA
• Providers in Latrobe, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.