M.D. Susan Pamela Goode, NPI 1255354593
Pediatric Gastroenterology Physician in Mesa, AZ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1255354593 |
| NPI Entity Type | Individual |
| Provider Name | M.D. Susan Pamela Goode |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 5555 E Baseline Rd, Mesa, AZ, US |
| Provider Mailing Address | 5555 E Baseline Rd, Mesa, AZ, US, 852064709 |
| Gender | Female |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pediatric Gastroenterology Physician |
| Classification | |
| Group | |
| License No. | 62272 |
| License State | AZ |
| Description | A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 39483 | OK | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 201060510A | OK | MEDICAID | 05 |
| 110077405A | MA | MEDICAID | 05 |
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