| Craig R Goodall, MD | |
|
1034 N 500 W, Provo, UT 84604-3380 | |
| (801) 357-7291 | |
| (801) 357-3854 |
| Full Name | Craig R Goodall |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 6 Years |
| Location | 1034 N 500 W, Provo, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255893897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11885628-1205 (Utah) | Secondary |
| 208M00000X | Hospitalist | MD-22917 (Hawaii) | Secondary |
| 208M00000X | Hospitalist | 11885628-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alta Bates Summit Medical Center | Oakland, CA | Hospital |
| Fort Defiance Indian Hospital | Fort defiance, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| The Fort Defiance Indian Hospital Board, Incorporation | 0941336697 | 104 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig R Goodall, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Craig R Goodall, MD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-7291 |
Mr. Jared Craig Kuntz, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8310 | |
Dr. Rex F Ripplinger, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1055 N 500 W, Provo, UT 84604 Phone: 801-429-8000 | |
Scott Terry Maughan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8310 Fax: 314-577-8100 | |
Levi Daniel Franz, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8310 | |
Trevor Kent Smith, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7291 | |
Dr. Matthew Paul Steinfeldt, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8411 | |
Dr. Shilpa Kala Sannapaneni, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 602, Provo, UT 84604 Phone: 801-357-0570 |