PAULINE M GOSS (NPI# 1881751022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881751022 |
| Entity Type | Individual |
| Full Name | PAULINE M GOSS |
| Credential | NP |
| Practice Address |
5040 N 15th Ave Ste 104 Phoenix AZ 85015-3329 |
| Mailing Address |
20701 N Scottsdale Rd Ste 107-427 Scottsdale AZ 85255-6413 |
| Practice Telephone | 6232450505 |
| Practice Fax Number | 6232453475 |
| Mailing Telephone | 6232450505 |
| Mailing Fax Number | 6232453475 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2018-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | RN127520 | AZ | Allopathic & Osteopathic Physicians |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP1924 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3201 W Peoria Ave Ste D700, Phoenix, AZ 850294612 | 6028631716 | 6028631718 |
| Street Address |
5040 N 15TH AVE STE 104 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760855670 | Jesmina Shrestha | Nurse Practitioner | 5040 N 15th Ave Ste 104, Phoenix, AZ 85015-3329 | 2015-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083258354 | Stephenie Ann Lechuga | Nurse Practitioner | 3415 W Glendale Ave Ste 32a, Phoenix, AZ 85051-8485 | 2019-10-30 |
| 1215455605 | Shampa Nasreen | Nurse Practitioner | 2711 E Roosevelt St, Phoenix, AZ 85008-4946 | 2017-09-06 |
| 1306275581 | Melissa Kay Reichenbach | Nurse Practitioner | 444 W. Osborn Rd, Ste 301, Phoenix, AZ 85013-3896 | 2013-11-07 |
| 1831539410 | Michelle Lea Byers | Nurse Practitioner | 17624 North 31st Ave, Phoenix, AZ 85053 | 2013-06-27 |
| 1922356518 | April A Colon | Nurse Practitioner | 1919 E Thomas Road, Phoenix, AZ 85016-7710 | 2012-08-29 |
| 1043518707 | Lisette V Hill | Nurse Practitioner | 3802 N 53rd Avenue, Suite 160, Phoenix, AZ 85031 | 2011-03-04 |
| 1376853077 | Tara Leigh Pierce | Nurse Practitioner | 1661 E Camelback Rd Ste 170, Phoenix, AZ 85016-3921 | 2010-10-15 |
| 1144385634 | Deborah Biringer Anderson | Nurse Practitioner | 26224 N Tatum Blvd Ste 1, Phoenix, AZ 85050-7500 | 2006-12-26 |
| 1952408411 | Genny Marie Stiller | Nurse Practitioner | 1919 E. Thomas Road, Department of Hem/onc, Phoenix, AZ 85016 | 2006-09-19 |
| 1437256153 | Pamela K. Grant | Nurse Practitioner | 15420 N. 32nd Drive, Phoenix, AZ 85053-3998 | 2006-09-17 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on PAULINE M GOSS.
| 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.