Active NPI
Gerard Martin Goshgarian, M.D.
- Orthopaedic Surgery Physician
- Gurnee, IL
National Provider Identifier
1013001908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Practice address
- 105 N Greenleaf St
Gurnee, IL 60031-3326 - Phone
- (847) 244-4343
- Fax
- (847) 244-8111
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | IL | Primary |
Addresses
Primary practice location
105 N Greenleaf St
Gurnee, IL 60031-3326
Mailing address
105 N Greenleaf St
Gurnee, IL 60031-3326
Phone (847) 244-4343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04900741 | Other | IL | BCBS OF ILLINOIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-044064 | IL | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1013001908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 N GREENLEAF ST",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313326",
"telephone_number": "847-244-4343",
"fax_number": "847-244-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N GREENLEAF ST",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313326",
"telephone_number": "847-244-4343",
"fax_number": "847-244-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSHGARIAN",
"first_name": "GERARD",
"middle_name": "MARTIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ILLINOIS",
"identifier": "04900741",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.