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Individual
MICHAEL H. GOODYEAR
Active
Individual
MICHAEL H. GOODYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS010114L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017569670004
—
PA
05
—
0017569670005
—
PA
05
—
0017569670006
—
PA
01
—
01756967-02
AMERICHOICE- TORRES
PA
01
—
01756967-03
AMERICHOICE - BUCKS
PA
01
—
01756967-04
AMERICHOICE- FRANKFORD
PA
01
—
0326345
CIGNA
PA
01
—
0454368000
KEYSTONE IBC
PA
01
—
07645
HEALTH PARTNERS
PA
01
—
1096440
KEYSTONE MERCY
PA
01
—
20045132
AMERIHEALTH MERCY
PA
01
—
452729
AETNA CONTRACT
PA
01
—
698433
PERSONAL CHOICE
PA
01
—
930114018
RAILROAD MEDICARE
PA
Enumeration date
07/13/2006
Last updated
07/12/2007
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