| Dr Roger Goomber, MD | |
|
6305 Powers Blvd, Mac 4, Parma, OH 44129 | |
| (440) 743-4333 | |
| (440) 743-2421 |
| Full Name | Dr Roger Goomber |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 19 Years |
| Location | 6305 Powers Blvd, Parma, Ohio |
| 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 |
|---|---|---|---|
| 1871787879 | NPI | - | NPPES |
| 0051150 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 35.092470 (Ohio) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 35.092470 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parma Community General Hospital | Parma, OH | Hospital |
| Southwest General Health Center | Middleburg heights, OH | Hospital |
| University Hospitals Of Cleveland | Cleveland, OH | Hospital |
| University Hospitals - Elyria Medical Center | Elyria, OH | Hospital |
| Uh St John Medical Center | Westlake, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ohio Anesthesia Group, Inc | 9537222138 | 129 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roger Goomber, MD 6305 Powers Blvd, Mac 4, Parma, OH 44129-4322 Ph: (440) 743-4333 | Dr Roger Goomber, MD 6305 Powers Blvd, Mac 4, Parma, OH 44129 Ph: (440) 743-4333 |