DANA MICHELLE GOGGANS (NPI# 1548784846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548784846 |
| Entity Type | Individual |
| Full Name | DANA MICHELLE GOGGANS |
| Other Name | DANA MICHELLE LAYER |
| Credential | PA |
| Practice Address |
100 N Lamar St Fort Worth TX 76196-0216 |
| Mailing Address |
Po Box 732973 Dallas TX 75373-2973 |
| Practice Telephone | 8172486209 |
| Mailing Telephone | 8177022450 |
| Mailing Fax Number | 8177028445 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363A00000X | Physician Assistant | PA11357 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA11357 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 N LAMAR ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76196-0216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548812902 | Camille E Jones | Physician Assistant | 100 N Lamar St, Fort Worth, TX 76196-0216 | 2019-07-15 |
| 1275091639 | Peace Ibeawuchi Okehie | Nurse Practitioner | 100 N Lamar St, Fort Worth, TX 76196-0216 | 2019-03-05 |
| 1609345214 | Kelsey Rice | Physician Assistant | 100 N Lamar St, Fort Worth, TX 76196-0216 | 2018-11-13 |
| 1659853356 | Jill Elaine Smith | Physician Assistant | 100 N Lamar St, Fort Worth, TX 76196 | 2018-08-30 |
| 1346729266 | James Rucker | Counselor | 100 N Lamar St, Fort Worth, TX 76196-0216 | 2018-08-10 |
| 1992284806 | Namsoon Park | Counselor | 100 N Lamar St, Fort Worth, TX 76196-0216 | 2018-08-10 |
| 1205315777 | Patricia Wright | Licensed Vocational Nurse | 100 N Lamar St, Fort Worth, TX 76196-0216 | 2018-08-07 |
| 1801310495 | Emily Brennan | Internal Medicine | 100 N Lamar St, Fort Worth, TX 76196 | 2017-07-26 |
| 1891178539 | Keon Anderson | Dentist | 100 N Lamar St, Fort Worth, TX 76196-0216 | 2015-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154849727 | Lieu Huynh | Social Worker | 401 W Belknap St, Fort Worth, TX 76196-0200 | 2017-09-05 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1629681952 | Anum Bashwani | Physician Assistant | 5601 Bridge St Ste 450, Fort Worth, TX 76112-2305 | 2020-08-26 |
| 1780200881 | Emily Brown Holloway | Physician Assistant | 1904 Turner Ridge Dr Apt 5202, Fort Worth, TX 76110-2499 | 2020-06-24 |
| 1679196570 | Maria Cristela Mosso | Physician Assistant | 4521 S Hulen St Ste 118, Fort Worth, TX 76109-4954 | 2020-05-26 |
| 1679195978 | Jacob Torre | Physician Assistant | 1701 River Run Ste 1118, Fort Worth, TX 76107-6557 | 2020-05-11 |
| 1871122382 | Kenaud Jeune | Physician Assistant | 5817 Fairglen Ave Apt 312, Fort Worth, TX 76137-6810 | 2020-04-06 |
| 1922635648 | Lauren Elizabeth Studey | Physician Assistant | 3470 Sagecrest Ter, Fort Worth, TX 76109-2555 | 2020-03-24 |
| 1033743612 | James Bregg Reedy | Physician Assistant | 200 W Magnolia Ave Ste 201, Fort Worth, TX 76104-7657 | 2020-02-24 |
| 1992335194 | Alexandria Christine Rios | Physician Assistant | 5904 Rockhill Rd, Fort Worth, TX 76112-3047 | 2020-01-16 |
| 1982253605 | Kelly Ann Klein | Physician Assistant | 6708 River Bend Rd, Fort Worth, TX 76132-1108 | 2019-09-05 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76196 |
Please comment or provide details below to improve the information on DANA MICHELLE GOGGANS.
| 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.