MARK GOODING PA-C NPI 1922241629

NPI Information

NPI: 1922241629
Provider Name: MARK GOODING, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4777 E GALBRAITH RD
INTERNAL MEDICINE
CINCINNATI, OH
ZIP 45236
Phone: (513) 266-2404
Get Directions

Mark Gooding, PA-C is a medical physician assistant in Cincinnati, OH. Mark Gooding, PA-C NPI is 1922241629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4777 E GALBRAITH RD
INTERNAL MEDICINE
CINCINNATI, OH
ZIP 45236-725
Phone: (513) 266-2404
Fax: (513) 398-9198

The NPI 1922241629 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2009 and was last updated on 8/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		50.002786	OHIO	No
2	363AM0700X	Physician Assistant	Medical	50.002786	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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