TIMOTHY JAMES GOODRIDGE A.A.
NPI 1174669451
Anesthesiologist Assistant in Round Rock, TX

Q: What is Timothy Goodridge's NPI number?

The NPI number for Timothy Goodridge is 1174669451. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Timothy Goodridge's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Goodridge was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 30, 2007Accepts Medicare Assignment

302 UNIVERSITY BLVD, ROUND ROCK, TX 78665(512) 509-0200(512) 218-6330 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2021, Aug 28, 2019 (2 updates tracked since 2019).

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About Timothy James Goodridge A.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY JAMES GOODRIDGE A.A. (NPI 1174669451) is an individual anesthesiologist assistant in Round Rock, Texas, licensed in Texas (343) and active in the NPI registry since January 2007. He is affiliated with Baylor Scott & White Medical Center - Temple and is a graduate of Other (1997).

NPPES Registry Identity

NPI1174669451

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameTIMOTHY JAMES GOODRIDGECredential: A.A.

Location Address302 UNIVERSITY BLVDRound Rock, TX 78665-1032

Mailing AddressPo Box 844658Dallas, TX 75284-4658

Phone(512) 509-0200

Fax(512) 218-6330

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateJanuary 30, 2007

Last NPPES UpdateDecember 16, 20212 updates tracked since enumeration

NPPES CertifiedDecember 16, 2021

✔ NPI 1174669451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in TX · 343

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

302 UNIVERSITY BLVD, Round Rock, TX 78665

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Other Identifiers 1

Other430055881TX · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy James Goodridge A.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597957589

PECOS Enrollment IDI20101008000697

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

36 services36 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

22 services22 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

20 services20 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HIRUT NICODIMOS

Physician Assistant (Medical)