Active NPIIndividual provider

Dr. Katelyn R Good, MD

Internal Medicine in Portland, Maine

NPI Number1912311259
Practice location
5 Bucknam RD Ste 2B, Portland, ME 04105-1209
Fax
207-781-1507
Last updated
April 8, 2024

Katelyn R Good is an Internal Medicine based in Portland, ME. Katelyn R Good practices in Portland, ME and has the professional credentials of MD. The NPI Number for Katelyn R Good is 1912311259 and holds a License No. MD27270 (IL). The current practice location address for Katelyn R Good is 5 Bucknam RD Ste 2B, Portland, ME 04105-1209 and can be reached out via phone at 207-781-1600 and via fax at 207-781-1507.

Provider Profile Details

NPI Number
1912311259
Provider Name
Katelyn R Good
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5 Bucknam RD Ste 2B, Portland, ME 04105-1209
Phone Number
207-781-1600
Fax Number
207-781-1507
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2014
Last Update Date
April 8, 2024
Certification Date
April 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Bucknam RD Ste 2B
Portland, ME 04105-1209
State
Maine
Zip
04105-1209
Phone Number
207-781-1600
Fax Number
207-781-1507
Portland, ME 04105Get directions →

Provider Business Mailing Address Details

Address
5 Bucknam RD Ste 2B
Portland, ME 04105-1209
City
Portland
State
ME
Zip
04105-1209
Phone Number
207-781-1600
Fax Number
207-781-1507

License Information

License Number (1)
MD27270
License State (1)
IL
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
MD27270
License State (2)
ME
License Number (3)
036.146126
License State (3)
IL
License Number (4)
147791
License State (4)
AK
License Number (5)
MD27270
License State (5)
ME
Taxonomy (5)
Pediatrics · 208000000X
License Number (6)
125064614
License State (6)
IL
Taxonomy (6)
Pediatrics · 208000000X
License Number (7)
MD27270
License State (7)
ME
Taxonomy (7)
Internal Medicine · 207R00000X · Primary

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. Katelyn R Good, MD?

The NPI number of Dr. Katelyn R Good, MD is 1912311259. It was assigned on June 15, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Katelyn R Good, MD?

Dr. Katelyn R Good, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in IL under license number MD27270.

Where does Dr. Katelyn R Good, MD practice?

The practice location is 5 Bucknam RD Ste 2B, Portland, ME 04105-1209. The office can be reached at 207-781-1600 (phone) or 207-781-1507 (fax).

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 1912311259 directly on the NPPES registry website.

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