NPIMap

Organization Active NPI

Goshen Health System, Inc

  • Family Medicine Physician
  • North Webster, IN
National Provider Identifier
1063255669
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GOSHEN HEALTH SYSTEM, INC
Practice address
301 N. Main Street
Suite 121
North Webster, IN 46555
Phone
(574) 244-0148
Fax
(574) 244-0159
NPI assigned
Jun 13, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jonathan J Yoder
Title
VP
Phone
(574) 364-2560

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2270885Goshen Physicians Family Medicine North Webster301 N Main Street, North Webster, IN 46555Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory
Tax ID family
Goshen Health System34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

301 N. Main Street
Suite 121
North Webster, IN 46555

Mailing address

PO Box 834
Goshen, IN 46527-0834

Other names 2

NPPES NPI Registry
  • Goshen Physicians Doing business as
  • Goshen Physicians Family Medicine North Webster Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2024.

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1063255669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 834",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465270834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N. MAIN STREET",
            "address_2": "SUITE 121",
            "city": "NORTH WEBSTER",
            "state": "IN",
            "postal_code": "46555",
            "telephone_number": "574-244-0148",
            "fax_number": "574-244-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN HEALTH SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "574-364-2560"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goshen Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goshen Physicians Family Medicine North Webster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Webster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.