Individual
DONALD B GOODFELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 S GREEN RD STE 27, CLEVELAND, OH 44121-4128
(216) 844-7200
(216) 291-3984
Mailing address
20800 HARVARD RD, 2ND FLOOR, HIGHLAND HILLS, OH 44122-7249
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-042252
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206624
UNISON
OH
01
—
000000503676
ANTHEM
—
05
—
0512869
—
OH
01
—
363569
WELLCARE
OH
01
—
4007304
AETNA
—
01
—
738055
BUCKEYE
OH
01
—
P00011035
RAILROAD MEDICARE
OH
01
—
P00385113
RAILROAD MEDICARE
OH
Enumeration date
07/18/2006
Last updated
01/13/2021
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