Active NPI
John J McGoohan IV, D.O,
- General Practice Physician
- Hollywood, FL
National Provider Identifier
1093018301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- OS5525
- Practice address
- 210 S Federal Hwy Ste 403
Hollywood, FL 33020-6811 - Phone
- (954) 929-3449
- Fax
- (954) 929-2001
- NPI assigned
- Dec 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | OS5525 | FL | Primary |
Addresses
Primary practice location
210 S Federal Hwy Ste 403
Hollywood, FL 33020-6811
Mailing address
210 S Federal Hwy Ste 403
Hollywood, FL 33020-6811
Phone (954) 929-3449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS5525 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1093018301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S FEDERAL HWY STE 403",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330206811",
"telephone_number": "954-929-3449",
"fax_number": "954-929-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S FEDERAL HWY STE 403",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330206811",
"telephone_number": "954-929-3449",
"fax_number": "954-929-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOOHAN",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "D.O,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-08",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "OS5525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.