Organization Active NPI

Darren W Goff MD PC

Doing business as Shanbour & Goff Associates

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1013002609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20279 Issued in OK
Legal business name
DARREN W GOFF MD PC
Doing business as
Shanbour & Goff Associates
Practice address
4140 W Memorial Rd
Suite 215
Oklahoma City, OK 73120
Phone
(405) 242-4030
Fax
(405) 242-4031
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kimberly S Horn, CPC
Title
Insurance Cordinator
Phone
(405) 242-4036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20279 OK Primary

Addresses

Primary practice location

4140 W Memorial Rd
Suite 215
Oklahoma City, OK 73120

Mailing address

4140 W Memorial Rd
Suite 215
Oklahoma City, OK 73120
Phone (405) 242-4030

Other identifiers 1

IdentifierTypeStateIssuer
529022250003OtherOKBLUE CROSS BLUE SHIELD

Other names 1

  • SHANBOUR & GOFF ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

1800 Renaissance Blvd
Fl 2
Edmond, OK 73013
Phone (405) 330-5100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013002609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 215",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-242-4030",
            "fax_number": "405-242-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 215",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-242-4030",
            "fax_number": "405-242-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREN W GOFF MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "INSURANCE CORDINATOR",
        "authorized_official_telephone_number": "405-242-4036",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "20279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "529022250003",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHANBOUR & GOFF ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.