Amy Goh, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lawrenceville, GA
NPI 1104686013 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1104686013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 665 Duluth Hwy Ste 401
Lawrenceville, GA 30046-4303 - Phone
- (678) 312-0450
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240604002365 | GA | Order and Referring Only - Internal Medicine |
2163964230 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
665 Duluth Hwy Ste 401
Lawrenceville, GA 30046-4303
Mailing address
PO Box 1190
Lawrenceville, GA 30046-1190
Other providers in Lawrenceville, GA
- Gocd Lawrenceville LLC
- Godfident Love Homecare LLC
- Roberto Carlos Godreau
- Ramona J Goetz
- Jennifer Louise Goff
- Howard C Goldberg
- Golden Home Care, LLC
- Eric Goldklang
- Charya Chhauv by Goldsmith
- Gordon Goldstein
All providers in Lawrenceville, GA · Student in an Organized Health Care Education/Training Program in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.