Active NPIIndividual providerSole proprietor

Dr. Wallace H Good Jr., MD

Anesthesiology in Saint Albans, Vermont

NPI Number1568496008
Practice location
12 Lakemount Dr, Saint Albans, VT 05478-0386
Fax
—
Last updated
July 8, 2007

Wallace Hanna Good is an Anesthesiology based in Saint Albans, VT. Wallace Hanna Good practices in Saint Albans, VT and has the professional credentials of MD. The NPI Number for Wallace Hanna Good is 1568496008 and holds a License No. 042-0006834 (VT). The current practice location address for Wallace Hanna Good is 12 Lakemount Dr, Saint Albans, VT 05478-0386 and can be reached out via phone at 802-524-5867.

Provider Profile Details

NPI Number
1568496008
Provider Name
Wallace Hanna Good
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12 Lakemount Dr, Saint Albans, VT 05478-0386
Phone Number
802-524-5867
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 10, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Lakemount Dr
Saint Albans, VT 05478-0386
State
Vermont
Zip
05478-0386
Phone Number
802-524-5867
Saint Albans, VT 05478Get directions →

Provider Business Mailing Address Details

Address
Po Box 386
Saint Albans, VT 05478-0386
City
Saint Albans
State
VT
Zip
05478-0386
Phone Number
802-452-5817

License Information

License Number (1)
042-0006834
License State (1)
VT
Taxonomy (1)
Anesthesiology · 207L00000X · Primary
License Number (2)
144954
License State (2)
NY
Taxonomy (2)
Anesthesiology · 207L00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Wallace H Good Jr., MD?

The NPI number of Dr. Wallace H Good Jr., MD is 1568496008. It was assigned on July 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Wallace H Good Jr., MD?

Dr. Wallace H Good Jr., MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in VT under license number 042-0006834.

Where does Dr. Wallace H Good Jr., MD practice?

The practice location is 12 Lakemount Dr, Saint Albans, VT 05478-0386. The office can be reached at 802-524-5867 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568496008 directly on the NPPES registry website.

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