Karen Mary Goth, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2008-00659 Issued in NC

Practice address

1901 Stonehenge Dr
Greenville, NC 27858-5067

Phone

(252) 561-7777

Fax

(252) 561-7778

NPI assigned

Jul 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Carolina University

  dba ECU Physicians

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1972551919
  NPD

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1013117126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 STONEHENGE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585067",
            "telephone_number": "252-561-7777",
            "fax_number": "252-561-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 STONEHENGE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585067",
            "telephone_number": "252-561-7777",
            "fax_number": "252-561-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTH",
        "first_name": "KAREN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2008-00659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909755",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Niquel Gorham
• Timika Walker Gorham, LICENSE PRACTICAL
• William Thomas Gorham Jr.
• Ambre Gorsek, M.S., CCC-SLP
• Alexis Pierino Goss, PA-C
• Tafadzwa Precious Goto, NP
• Elizabeth Ann Gottsch, PHYSICIAN ASSISTANT
• Lauren Gottschalk, BCBA
• John E Gough, MD
• Michael Gough, PA-C

• Pediatrics Physician in Greenville, NC
• Providers in Greenville, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.