| Mr James A Goudy Ii, MD | |
|
270 Portland Way S, Galion, OH 44833 | |
| (419) 468-8323 | |
| (419) 462-5567 |
| Full Name | Mr James A Goudy Ii |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 270 Portland Way S, Galion, 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 |
|---|---|---|---|
| 1154301471 | NPI | - | NPPES |
| 0747124 | Medicaid | OH | |
| 000000371100 | Other | OH | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35057542G (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home Ii | Bedford heights, OH | Home health agency |
| Galion Community Hospital | Galion, OH | Hospital |
| Bucyrus Community Hospital | Bucyrus, OH | Hospital |
| Avita Ontario | Ontario, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Central Ohio Family Care Center Inc | 3274437082 | 159 |
| Galion Community Hospital | 5496737439 | 36 |
| Entity Name | North Central Ohio Family Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689822827 PECOS PAC ID: 3274437082 Enrollment ID: O20031124000232 |
| Entity Name | Galion Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215907522 PECOS PAC ID: 5496737439 Enrollment ID: O20040603000930 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James A Goudy Ii, MD 700 N Columbus St, Crestline, OH 44827-1455 Ph: (419) 468-0511 | Mr James A Goudy Ii, MD 270 Portland Way S, Galion, OH 44833 Ph: (419) 468-8323 |
Todd M Darmody, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Portland Way S, Galion, OH 44833 Phone: 419-462-4656 Fax: 419-462-4657 | |
Vladimir Fabian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-468-0598 | |
Joseph R Mayo, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-462-4600 Fax: 419-462-4609 | |
Jeffrey Bryan Vandeusen, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-462-3470 Fax: 419-468-5184 | |
Mihai-liviu C. Ursachi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-468-0596 Fax: 419-468-0597 | |
Dr. Nhan Trong Luu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 269 Portland Way S, Galion, OH 44833 Phone: 419-462-4575 |