MARY ELLEN GOOD


Address: 2615 Fort Amanda Rd, Lima, OH 45804-3730
Phone: 4192257301

MARY ELLEN GOOD (NPI# 1417982612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417982612
Entity Type Individual
Full Name MARY ELLEN GOOD
Credential N.S.
Practice Address 2615 Fort Amanda Rd
Lima
OH 45804-3730
Mailing Address Po Box 951999
Cleveland
OH 44193-0021
Practice Telephone 4192257301
Mailing Telephone 4199965114
Enumeration Date 2006-07-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
RN-093700 /NS043 OH Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH ANTHEM BLUE CROSS 000000200685 01

Other Providers MARY GOOD

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1871127845 Mary Michelle Good Marriage & Family Therapist 313 N Main St Ste C, Sebastopol, CA 95472-3437 2020-02-27
1366615437 Mary Elizabeth Good Optometrist 1700 S Lincoln Ave, Lebanon, PA 17042 2008-04-09
1609805001 Mary E Good Physician Assistant 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 2006-06-30

Office Location

Street Address 2615 FORT AMANDA RD
City LIMA
State OH
Zip Code 45804-3730

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134729817 Luke Holliday Pharmacist Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 2020-10-30
1306482393 Olympia Monik Johnson Case Manager/Care Coordinator 799 S. Main St, Lima, OH 45804 2019-11-25
1982260139 Jenna Renee Warnecke Speech-Language Pathologist Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 2019-05-14
1942728282 Premier Care of Ohio, LLC. Community/Behavioral Health 2727 St. Johns Rd, Ste D, Lima, OH 45804 2017-09-07
1093250078 Gevette Love Counselor 311 E. Market St., Lima, OH 45804 2016-12-29
1134595416 Rewa A Banks Nurse Practitioner 2895 Harding Hwy Ste C, Lima, OH 45804 2015-08-20
1295148195 Adaptive Medical Marketing, Inc Durable Medical Equipment & Medical Supplies 1378 Bellefontaine Ave, Lima, OH 45804 2014-06-09
1265771869 Laura B Hile Nurse Practitioner 1875 South Dixie Highway, Lima, OH 45804 2013-02-04
1184960593 Jenna L Kimmel Nurse Practitioner 799 S. Main St., Lima, OH 45804 2012-12-13
1437398054 Champaign Residential Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2450 Mandolin Drive, Lima, OH 45804 2009-02-05
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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497216584 Patricia Marie Lord Registered Nurse 8275 Ashford St, Concord Twp, OH 44077-9387 2019-03-29
1750728135 Susan Mildred Fix Registered Nurse 9440 Bucher Rd, Whitehouse, OH 43571-9461 2013-05-27
1396083226 Dyhann M Rhodes Registered Nurse 18599 Lake Shore Blvd # 227, Euclid, OH 44119-1093 2013-01-28
1891080958 Timika Chambers Registered Nurse 6694 Hamler Dr, Canal Winchester, OH 43110-8481 2011-06-16
1548392483 Ruth Ann Kanzeg Registered Nurse 9880 Old Us Route 20, Rossford, OH 43460 2007-03-09
1699311845 Rejuvyo Health Registered Nurse 20 S 3rd St Ste 210, Columbus, OH 43215-4206 2019-11-22
1588229298 Kristine Marie Mullenhour Registered Nurse 200 Saint Clair Ave, Saint Marys, OH 45885-2494 2019-05-08
1356807028 Kathryn Jo Bradshaw Registered Nurse 751 Forest Avenue, Mab II, Suite 200, Zanesville, OH 43701 2019-02-18
1639605561 Julia Hitch Registered Nurse 700 Ackerman Road, Columbus, OH 43202 2017-05-11
1710438122 Deborah Ruth Davis Registered Nurse 950 W Wooster St, Bowling Green, OH 43402-2603 2016-10-20
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Competitor

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City LIMA
Zip Code 45804

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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