Stacey D Goodrich (NPI# 1578570180, PAC ID# 9830131069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1578570180 |
| PAC ID by PECOS | 9830131069 |
| Professional Enrollment ID | I20050526000831 |
| Full Name | Stacey D Goodrich |
| Organization Legal Name | JOHNSON COUNTY HOSPITAL |
| Address |
202 High St Tecumseh NE 68450-2443 |
| Phone Number | 4023353361 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4688583644 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 281350 | JOHNSON COUNTY HOSPITAL |
| 280003 | BRYAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 202 High St, Tecumseh, NE 68450-2443 | 4023353361 | JOHNSON COUNTY HOSPITAL |
| Organization Legal Name | JOHNSON COUNTY HOSPITAL |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Gobber | Physician Assistant | Johnson County Hospital | 202 High St, Tecumseh, NE 68450-2443 |
| Nicholas B Kinkead | Physician Assistant | Johnson County Hospital | 202 High St, Tecumseh, NE 68450-2443 |
| Nicole Leigh Turner | Family Medicine | Johnson County Hospital | 202 High St, Tecumseh, NE 68450-2443 |
| Benjamin D Biehl | Family Medicine | Johnson County Hospital | 202 High St, Tecumseh, NE 68450-2443 |
| John B Waldrep | Physician Assistant | Johnson County Hospital | 202 High St, Tecumseh, NE 68450-2443 |
| Kathryn Griess | Physician Assistant | Johnson County Hospital | 202 High St, Tecumseh, NE 68450-2443 |
| Sara J Sharples | Physician Assistant | Johnson County Hospital | 202 High St, Tecumseh, NE 68450-2443 |
| Street Address |
202 HIGH ST |
| City | TECUMSEH |
| State | NE |
| Zip | 68450-2443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott D Bigelow | Orthopedic Surgery | Lincoln Orthopaedic Center PC | 202 High St, Tecumseh, NE 68450-2443 |
| Elizabeth A Gobber | Physician Assistant | Johnson County Hospital | 202 High St, Tecumseh, NE 68450-2443 |
| Nicholas B Kinkead | Physician Assistant | Johnson County Hospital | 202 High St, Tecumseh, NE 68450-2443 |
| Nicole Leigh Turner | Family Medicine | Johnson County Hospital | 202 High St, Tecumseh, NE 68450-2443 |
| Benjamin D Biehl | Family Medicine | Johnson County Hospital | 202 High St, Tecumseh, NE 68450-2443 |
| John B Waldrep | Physician Assistant | Johnson County Hospital | 202 High St, Tecumseh, NE 68450-2443 |
| Kathryn Griess | Physician Assistant | Johnson County Hospital | 202 High St, Tecumseh, NE 68450-2443 |
| Sara J Sharples | Physician Assistant | Johnson County Hospital | 202 High St, Tecumseh, NE 68450-2443 |
| City | TECUMSEH |
| Zip Code | 68450 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TECUMSEH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stacey D Goodrich.
| 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.