Dr Roger R Goodenough, MD | |
998 S Dorset Rd, Suite 301, Troy, OH 45373-4753 | |
(937) 339-5441 | |
(937) 339-6668 |
Full Name | Dr Roger R Goodenough |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 998 S Dorset Rd, Troy, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982671434 | NPI | - | NPPES |
0122030 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35031589 (Ohio) | Primary |
Entity Name | Upper Valley Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407872518 PECOS PAC ID: 5597658138 Enrollment ID: O20040206000038 |
Mailing Address | Practice Location Address |
---|---|
Dr Roger R Goodenough, MD 3130 N County Road 25a, Troy, OH 45373-1337 Ph: (937) 440-7497 | Dr Roger R Goodenough, MD 998 S Dorset Rd, Suite 301, Troy, OH 45373-4753 Ph: (937) 339-5441 |
Ajay Paul Sodhi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 W Main St, Troy, OH 45373 Phone: 937-395-6665 Fax: 937-395-6668 | |
Susan Beth Grau, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3130 N County Road 25a, Troy, OH 45373 Phone: 937-440-4466 Fax: 937-440-7177 | |
Irina A. Gendler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 998 S Dorset Rd, 204, Troy, OH 45373 Phone: 937-339-9865 Fax: 937-440-7243 | |
Richard Olin Michael, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 998 S Dorset Rd, Ste 301, Troy, OH 45373 Phone: 937-339-9865 Fax: 937-339-6668 | |
Andrew Fellers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Stanfield Rd Ste A, Troy, OH 45373 Phone: 937-339-5355 Fax: 937-339-3056 | |
Kelly Crego-lee, RN APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 512 Crescent Dr, Troy, OH 45373 Phone: 937-216-4410 | |
Nabila Habib Bibawy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3130 N County Road 25a, Troy, OH 45373 Phone: 937-440-4466 Fax: 937-440-4470 |