Goshen Ambulatory Care Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GOSHEN AMBULATORY CARE CENTER LLC

Practice address

1605 Winsted Dr
Goshen, IN 46526-4655

Phone

(574) 534-8794

Fax

(574) 534-3082

NPI assigned

Mar 14, 2006

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Starnes

Title

Office Administrator

Phone

(574) 534-8794

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Stephen Szynal, DO

  • Anesthesiology Physician
  • Goshen, IN
  • NPI 1801877246
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1043288111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 WINSTED DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264655",
            "telephone_number": "574-534-8794",
            "fax_number": "574-534-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 WINSTED DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264655",
            "telephone_number": "574-534-8794",
            "fax_number": "574-534-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN AMBULATORY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "STARNES",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "574-534-8794"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000185275",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490004601",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200258140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good to Grow Dental Center, PLLC
• Good-Elliott Counseling, LLC
• Philip David Good-Elliott, LCSW
• Amy Justine Goodrich, RD, IBCLC
• Heather Gorball, MSW
• Goshen Anesthesiology LLC
• Goshen Birth Center, Inc
• Goshen Chiropractic Center, PC
• Goshen City Behavioral Health LLC
• Goshen Community Schools

• Ambulatory Surgical Clinic/Center in Goshen, IN
• Providers in Goshen, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.

Verify at the official NPI Registry.