Dale A Goodman (NPI# 1518052158, PAC ID# 7113097569) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1518052158 |
| PAC ID by PECOS | 7113097569 |
| Professional Enrollment ID | I20080528000531 |
| Full Name | Dale A Goodman |
| Organization Legal Name | LA PORTE COUNTY ANESTHESIA ASSOCIATES, LLC |
| Address |
301 W Homer St St Anthony Mem Health Centers Michigan City IN 46360-4358 |
| Phone Number | 2198771453 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 4688633241 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150015 | FRANCISCAN ST ANTHONY HEALTH - MICHIGAN CITY |
| Address | Phone | Organization |
|---|---|---|
| 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 | 2198771453 | LA PORTE COUNTY ANESTHESIA ASSOCIATES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_426_overall | Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 99% | |
| MIPS_EC_427_overall | Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU) | 70% |
| Organization Legal Name | LA PORTE COUNTY ANESTHESIA ASSOCIATES, LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvette M George | Certified Registered Nurse Anesthetist (crna) | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Charles Cooper | Certified Registered Nurse Anesthetist (crna) | La Porte County Anesthesia Associates, LLC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Natalia Segal | Anesthesiology | La Porte County Anesthesia Associates, LLC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Ashleigh Griechen | Certified Registered Nurse Anesthetist (crna) | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Shashi A Patel | Anesthesiology | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Tayyab W Khan | Anesthesiology | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Shanmugham Vadivelu | Anesthesiology | La Porte County Anesthesia Associates, LLC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Ann Marie C Murillo | Anesthesiology | La Porte County Anesthesia Associates, LLC | 1507 Wabash St, 400c, Michigan City, IN 46360-4361 |
| Xiaomin Liang | Anesthesiology | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Kandiyur Seshadri | Anesthesiology | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Street Address |
301 W HOMER ST ST ANTHONY MEM HEALTH CENTERS |
| City | MICHIGAN CITY |
| State | IN |
| Zip | 46360-4358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason C Little | Nurse Practitioner | Franciscan Physician Network | 301 W Homer St, Michigan City, IN 46360-4358 |
| Abbey Cooper | Nurse Practitioner | Epmg of Indiana PC | 301 W Homer St, St. Anthony Memorial, Michigan City, IN 46360-4358 |
| Michael B Owolabi | Emergency Medicine | Epmg of Indiana PC | 301 W Homer St, St. Anthony Memorial, Michigan City, IN 46360-4358 |
| Sara L Gonzalez | Nurse Practitioner | Franciscan Physician Network | 301 W Homer St, Michigan City, IN 46360-4358 |
| Yvette M George | Certified Registered Nurse Anesthetist (crna) | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Elias Salloum | Hospitalist | Franciscan Physician Network | 301 W Homer St, Michigan City, IN 46360-4358 |
| Ashleigh Griechen | Certified Registered Nurse Anesthetist (crna) | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Shashi A Patel | Anesthesiology | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Tayyab W Khan | Anesthesiology | La Porte County Anesthesia Associates, LLC | 301 W Homer St, St Anthony Mem Health Centers, Michigan City, IN 46360-4358 |
| Holly Bradford | Nurse Practitioner | Franciscan Physician Network | 301 W Homer St, Michigan City, IN 46360-4358 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanpreet Kaur | Pulmonary Disease | Franciscan Physician Network | 3500 N Franciscan Way, Suite 400, Michigan City, IN 46360-0021 |
| Vidya S Kora | Internal Medicine | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Brian Paul Dickover | Pulmonary Disease | Franciscan Physician Network | 3500 Franciscan Way, Suite 400, Michigan City, IN 46360-0021 |
| Jennifa K Thomas | Nurse Practitioner | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Paul W Cheng | Cardiovascular Disease (cardiology) | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Stan Tovsky | Anesthesiology | Lakeshore Interventional Pain Associates, LLC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Olusola O Ogundipe | Hematology/oncology | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Syed R Majid | Hospitalist | Franciscan Physician Network | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Peter A. Zack | Emergency Medicine | Epmg of Indiana PC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Charles Cooper | Certified Registered Nurse Anesthetist (crna) | La Porte County Anesthesia Associates, LLC | 3500 Franciscan Way, Michigan City, IN 46360-0021 |
| Find all physicians in zip 46360 | |||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | MICHIGAN CITY + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Dale A Goodman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.