Individual provider Active NPI

Candice Goh Troxell, D.O.

  • Pediatrics Physician
  • Barbourville, KY
National Provider Identifier
1043572688
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
03859 Issued in KY
Practice address
215 N Allison Ave
Barbourville, KY 40906-1336
Phone
(606) 546-9287
Fax
(606) 546-0009
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 03859 KY Primary

Addresses

Primary practice location

215 N Allison Ave
Barbourville, KY 40906-1336

Mailing address

PO Box 1150
Barbourville, KY 40906-5150
Phone (606) 546-9287

Other identifiers 1

IdentifierTypeStateIssuer
7100358110MedicaidKY

Other names 1

  • Candice Marie Goh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20150817002727 KY Practitioner - Pediatric Medicine 1759696925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
03859KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barbourville Family Health Center Current Accepting new patients
Barbourville Family Health Center CurrentSince May 1, 2023 Accepting new patients
Barbourville Family Health Center Past Accepting new patients

Locations

315 Hospital Dr
Ste 2
Barbourville, KY 40906
Phone (606) 546-4060

215 N Allison Ave
Barbourville, KY 40906
Phone (606) 546-9287

140 Bryan Blvd
Corbin, KY 40701
Phone (606) 523-2005

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1043572688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409065150",
            "telephone_number": "606-546-9287",
            "fax_number": "606-546-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N ALLISON AVE",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061336",
            "telephone_number": "606-546-9287",
            "fax_number": "606-546-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROXELL",
        "first_name": "CANDICE",
        "middle_name": "GOH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "03859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100358110",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "GOH",
            "middle_name": "MARIE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Barbourville, KY

Sources for this page

Verify at the official NPI Registry.