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Active NPI 1356447882 Individual Practitioner Male Practitioner

Mark Goodrich , PA-C

Physician Assistant • Clinton, UT

Professional Overview & Biography Verified Profile Summary

Mark Goodrich, PA-C is a registered healthcare professional specializing in Physician Assistant in Clinton, UT. Practice services are available at 1477 NORTH 2000 WEST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1477 North 2000 West
Westside Medical

Clinton, UT 84015

Telephone 8017748888
Fax 8018258519
Associated Practice Facility / Clinic
🏢 Westside Medical Pc Facility NPI 1558439117

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Clinton, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Clinton, UT (1904 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
56 46 $178.00 $73.38

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 2729721206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Collette Renstrom , NP-C

Nurse Practitioner - Family

NPI 1063650075

Nurse Practitioner (Certified)

Elmo Taylor , PA-C

Physician Assistant

NPI 1114023124

Physician Assistant (Certified)

Dr. Ann Maruri , DNP, CPNP

Nurse Practitioner - Pediatrics

NPI 1477673291

Doctor of Nursing Practice, Certified Pediatric Nurse Practitioner

Dr. Nelson Astle , MD

Family Medicine

NPI 1548366552

Doctor of Medicine (M.D.)

Dr. Eric Hogan , DO

Family Medicine

NPI 1669769451

Doctor of Osteopathic Medicine (D.O.)

NPI 1811307010

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 13, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2009

Registered at 1477 NORTH 2000 WEST, WESTSIDE MEDICAL, CLINTON, UT 84015 (Tel: 8017748888)

📍
Updated Business Mailing Address October 13, 2009

Registered at 1477 NORTH 2000 WEST, WESTSIDE MEDICAL, CLINTON, UT 84015 (Tel: 8017748888)

👤
Provider Name / Credentials Updated October 13, 2009

Recorded as MARK GOODRICH, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2009

Physician Assistant (License #2729721206 in UT)

🟢
Initial NPI Registration & Enumeration September 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356447882
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2006
Last Update: October 13, 2009
Sole Proprietor: No

Mailing Address

1477 North 2000 West, Westside Medical

Clinton, UT 84015

Phone: 8017748888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.