MARY ELIZABETH GOSHORN (NPI# 1265931703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265931703 |
| Entity Type | Individual |
| Full Name | MARY ELIZABETH GOSHORN |
| Credential | PHDH, RDH |
| Practice Address |
46 Red Hill Ct Newport PA 17074-8706 |
| Mailing Address |
4921 Arch Rock Rd Mifflintown PA 17059-9080 |
| Practice Telephone | 7172303919 |
| Mailing Telephone | 7178296968 |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2018-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125K00000X | Advanced Practice Dental Therapist | PHDH000740 | PA | Dental Providers |
| Street Address |
46 RED HILL CT |
| City | NEWPORT |
| State | PA |
| Zip Code | 17074-8706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619936044 | Kathleen Jennifer Knouse | Pediatrics | 46 Red Hill Ct, Newport, PA 17074-8706 | 2006-03-23 |
| 1659885093 | Hamilton Health Center, Inc | Clinic/Center | 46 Red Hill Ct, Newport, PA 17074-8706 | 2017-11-21 |
| 1104070531 | Heritage Medical Group, LLP | Pediatrics | 46 Red Hill Ct, Newport, PA 17074-8706 | 2008-11-12 |
| 1417917493 | Michelle Liane Brenizer | Family Medicine | 46 Red Hill Ct, Newport, PA 17074-8706 | 2006-03-24 |
| 1871553842 | Albert Bauer Knouse Jr. | Family Medicine | 46 Red Hill Ct, Newport, PA 17074-8706 | 2006-03-24 |
| 1003876947 | Michael Andrew Thieblemont | Family Medicine | 46 Red Hill Ct, Newport, PA 17074-8706 | 2006-03-24 |
| 1063472900 | James Orville Rumbaugh Jr. | Family Medicine | 46 Red Hill Ct, Newport, PA 17074-8706 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043750227 | Michael Xavier Williams | Student in an Organized Health Care Education/Training Program | 848 Keystone Way, Newport, PA 17074 | 2017-03-07 |
| 1821493164 | Orthopedic Surgeons Ltd | Orthopaedic Surgery | 300 Bretz Court, Newport, PA 17074 | 2014-10-29 |
| 1043221419 | Robert Anthony Wilson | Pharmacist | 120 Limekiln Rd, Newport, PA 17074 | 2006-08-11 |
| 1518266147 | Michael G Hart | Pharmacist | 10 Newport Plaza, Newport, PA 17074 | 2011-03-22 |
| 1720033830 | Cresscare Medical Inc | Durable Medical Equipment & Medical Supplies | 133 S 5th St, Suite 100, Newport, PA 17074-1009 | 2006-05-24 |
| 1447893136 | Trisha Kay Cohick | Massage Therapist | 100 N 4th St, Newport, PA 17074-1105 | 2019-10-24 |
| 1023651775 | Jennifer Jo Rice | Massage Therapist | 100 N 4th St, Newport, PA 17074-1105 | 2019-10-25 |
| 1669427282 | Newport School District | Local Education Agency (LEA) | 420 Fickes Ln, Newport, PA 17074-1233 | 2006-05-23 |
| 1710389119 | Andrew Martin Schryver | Specialist/Technologist | 420 Fickes Ln, Newport, PA 17074-1233 | 2014-09-17 |
| 1508048828 | John B Hocker Jr. | Pharmacist | 28 S 2nd St., Newport, PA 17074-1401 | 2007-11-28 |
| Find all providers in zip 17074 | ||||
| Taxonomy Code | 125K00000X |
| Grouping | Dental Providers |
| Classification | Advanced Practice Dental Therapist |
| An Advanced Practice Dental Therapist is: (1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or (2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum. The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.106. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386014140 | Brenda Bosworth | Advanced Practice Dental Therapist | 686 Two Mile Rd, Port Allegany, PA 16743-5018 | 2015-10-05 |
| 1831642917 | Dentistry At 1818 Market St | Advanced Practice Dental Therapist | 1818 Market St, Suite 100, Philadelphia, PA 19103-3638 | 2016-07-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.