Timothy R Goshen, D.O.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OS8504 Issued in FL

Practice address

2301 Wilton Dr
Suite C-2
Wilton Manors, FL 33305-1202

Phone

(954) 567-5898

Fax

(954) 567-0395

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Colorectal Surgery (Proctology)

Education

Oklahoma State University College of Osteopathic Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drtimothygoshen@f-fl.direct.office.nextgen.com

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.

• Fort Lauderdale Medical Surgical Associates., Inc.

  • Colon & Rectal Surgery Physician
  • Wilton Manors, FL
  • NPI 1134473663
  Medicare reassignment NPD Authorized official
• Christopher Medical Group

  • Family Medicine Physician
  • Hampton, VA
  • NPI 1164477634
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1083665723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 WILTON DR",
            "address_2": "SUITE C-2",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051202",
            "telephone_number": "954-567-5898",
            "fax_number": "954-567-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 WILTON DR",
            "address_2": "SUITE C-2",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051202",
            "telephone_number": "954-567-5898",
            "fax_number": "954-567-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSHEN",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS8504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266516600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrTimothyGoshen@F-Fl.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "Fort Lauderdale Medical Surgical Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2301 Wilton Dr",
            "address_2": "Suite C-2",
            "city": "Wilton Manors",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333051202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrTimothyGoshen@F-Fl.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "Fort Lauderdale Medical Surgical Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2301 Wilton Dr",
            "address_2": "Suite C-2",
            "city": "Wilton Manors",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333051202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ronie L Gomes
• Isabel Gomez, M.D
• Cindy Gonzalez, MFT
• Yaniris Gonzalez, CBHCM
• Sara Gorman
• Arash Goshtasby, DMD
• Davide Gottardi, DMD
• Betty A Gottfried, D.D.S.
• Ian Cleaent Griffin, LCSW
• Erley Grinan Lobaina

• Specialist in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.
• 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.