GOSHEN HEALTH SYSTEM INC (NPI# 1588190284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588190284 |
Entity Type | Organization |
Organization Name | GOSHEN HEALTH SYSTEM INC |
Other Organization Name | GOSHEN PHYSICIANS DIAGNOSTICS |
Practice Address |
1824 Dorchester Ct Goshen IN 46526 |
Mailing Address |
2004 Elkhart Road Ste A Goshen IN 46526 |
Practice Telephone | 5745342548 |
Practice Fax Number | 5745343622 |
Mailing Telephone | 5743642611 |
Mailing Fax Number | 5743642784 |
Enumeration Date | 2017-05-02 |
Last Update Date | 2019-05-07 |
Authorized Official Name | RICHARD TARSKE (VICE PRESIDENT) |
Authorized Official Telephone | 5743642875 |
Is Organization Subpart | Y |
Parent Organization Name | GOSHEN HEALTH SYSTEM INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RM1200X |
Internal Medicine Specialization: Magnetic Resonance Imaging (MRI) |
Allopathic & Osteopathic Physicians | ||
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
N | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers | ||
N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Goshen Physicians Diagnostics | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1033 N Indiana Ave, Syracuse, IN 465671017 | 5744575701 | |
1122 Professional Dr, Goshen, IN 465263819 | 5745330560 | |
1953 Waterfall Dr Ste A, Nappanee, IN 465508961 | 5747734101 | |
2824 Elkhart Rd, Goshen, IN 465261014 | 5745351700 | |
2832 Elkhart Rd, Goshen, IN 465261014 | 5745370219 | |
450 E Country Ln, Shipshewana, IN 465658568 | 2607684141 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194772293 | Goshen Health System Inc | Internal Medicine | 2004 Elkhart Rd Ste A, Goshen, IN 46526-1118 | 2006-05-27 |
Street Address |
1824 DORCHESTER CT |
City | GOSHEN |
State | IN |
Zip Code | 46526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295735868 | Martin L Saltzman | Orthopaedic Surgery | 1824 Dorchester Ct, Goshen, IN 46526-6819 | 2005-07-26 |
1285922328 | Arjuna James Cuddeback | Orthopaedic Surgery | 1824 Dorchester Ct, Suite A, Goshen, IN 46526-6819 | 2011-07-11 |
1770659666 | Goshen Orthopedic Associates, LLC | Prosthetic/Orthotic Supplier | 1824 Dorchester Ct, Goshen, IN 46526-6476 | 2006-11-24 |
1265543904 | Carrie J Bloss | Occupational Therapist | 1824 Dorchester Ct, Goshen, IN 46526-6476 | 2006-08-31 |
1821035353 | David Chester Koronkiewicz | Orthopaedic Surgery | 1824 Dorchester Ct, Goshen, IN 46526-6476 | 2006-06-01 |
1275570012 | Goshen Orthopedic Associates, LLC | Orthopaedic Surgery | 1824 Dorchester Ct, Goshen, IN 46526-6476 | 2006-06-01 |
1093716573 | Karl Thomas Wagner Jr. | Orthopaedic Surgery | 1824 Dorchester Ct, Suite A, Goshen, IN 46526-6819 | 2005-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
Find all providers in zip 46526 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
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1710476668 | Reid Physician Associates, Inc. | Clinic/Center | 1350 Chester Blvd Ste E, Richmond, IN 47374-1959 | 2018-05-07 |
1548787203 | Deaconess Hospital, Inc. | Clinic/Center | 4949 Healthy Way Ste B, Evansville, IN 47715-1180 | 2017-08-24 |
1013452283 | George B. Pratt, Md | Clinic/Center | 9015 Crystal Lake Dr, Indianapolis, IN 46240-6414 | 2016-12-27 |
1134564016 | Chn Jmh Ventures LLC | Clinic/Center | 3000 S State Road 135 Ste 120, Greenwood, IN 46143-9829 | 2013-05-06 |
1578871257 | Smartview Imaging, LLC | Clinic/Center | 7818 E 96th St, Fishers, IN 46037-9629 | 2010-09-16 |
1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
1205919982 | Northwestern Medical Imaging LLC | Clinic/Center | 1946 45th Ave, Munster, IN 46321-3917 | 2006-10-24 |
1720178726 | Indiana Mri of Evansville, LLC | Clinic/Center | 729 John St, Evansville, IN 47713-2754 | 2006-10-13 |
1750471470 | Indiana Regional P E T and Imaging Center, LLC | Clinic/Center | 7891 Broadway Ste A, Merrillville, IN 46410-5556 | 2006-10-13 |
Find all providers with the same taxonomy |
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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.