DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARY ELLEN GOOD N.S.

MEDICARE: MARY ELLEN GOOD N.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WD0400XDiabetes Educator Registered NurseRN-093700 /NS04317OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000200685OTHEROHANTHEM BLUE CROSS

General Provider Information

NPI Number : 1417982612
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ELLEN GOOD N.S.
Provider Business Mailing Address
First Line : PO BOX 951999
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0021
Country : US
Telephone Number : 419-996-5114
Fax Number :
Provider Business Practice Location Address
First Line : 2615 FORT AMANDA RD
Second Line :
City : LIMA
State : OH
Zip : 45804-3730
Country : US
Telephone Number : 419-225-7301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1497769137 — HCF OF BURTON'S RIDGE, INC.
Practice Location Address:
2651 FORT AMANDA RD
LIMA, OH
45804-3730
Practice Phone: 419-228-8412
Practice Fax: 419-228-8612
1730423450 — MISS MONJULA NERAVANDA APPAYA MA CCC-SLP
Practice Location Address:
2651 FORT AMANDA RD
LIMA, OH
45804-3730
Practice Phone: 419-228-8412
Practice Fax: 419-228-8612
1679931240 — JULIE RENNER PT
Practice Location Address:
2651 FORT AMANDA RD
LIMA, OH
45804-3730
Practice Phone: 419-228-8412
Practice Fax: 419-228-8612
1316306699 — MRS. ERIN BUTLER MS CCC-SLP
Practice Location Address:
2651 FORT AMANDA RD
LIMA, OH
45804-3730
Practice Phone: 419-228-8412
Practice Fax: 419-999-6284
1508367467 — MS. MOLLY ANN EVANS MOT, OTR/L
Practice Location Address:
2651 FORT AMANDA RD
LIMA, OH
45804-3730
Practice Phone: 419-228-8412
Practice Fax: 419-228-8612
1154912558 — ENCOMPASS CARE, INC.
Practice Location Address:
2651 FORT AMANDA RD
LIMA, OH
45804-3730
Practice Phone: 419-999-2010
Practice Fax: 419-999-6284

Directions to “ MARY ELLEN GOOD N.S.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.