Goforth Health Center, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

CE0006497 Issued in MO

Legal business name

GOFORTH HEALTH CENTER, LLC

Practice address

4344 Osage Beach Pkwy
A2
Osage Beach, MO 65065-2175

Phone

(573) 348-9800

NPI assigned

Apr 22, 2014

Organization subpart

No

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

Authorized official

Name

Larry Mark Goforth, D.C.NPI 1760543474

Title

Chiropractic Physician

Phone

(573) 348-9800

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Larry Mark Goforth, D.C.

  • Chiropractor
  • Lake Ozark, MO
  • NPI 1760543474
  NPD (past) Authorized official
• Jerry R Meyers, MD

  • Surgery Physician
  • St Peters, MO
  • NPI 1679575161
  NPD (past)
• Wendy Arron Ramboldt, DC

  • Chiropractor
  • Osage Beach, MO
  • NPI 1639415615
  NPD (past)
• Matthew John Wise, DC

  • Chiropractor
  • Saint Charles, MO
  • NPI 1477600641
  NPD (past)

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1114347705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2458",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650492458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 OSAGE BEACH PKWY",
            "address_2": "A2",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650652175",
            "telephone_number": "573-348-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOFORTH HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "GOFORTH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "573-348-9800",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MO",
            "license": "CE0006497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Smeltzer MD & Associates Inc
• Lyndsay D Funke, FNP
• Erin Christine Gagnon, O.D.
• Cynthia Jane Gates
• Sara Leann Gilliam, COTA/L
• Tara Grantham, OTR
• Stacy Renee Green, NP
• Anna Grimshaw, MOT
• Whitney Marie Grote, COTA
• Kimber Guinn, DO

• Health Service Clinic/Center in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Health Service Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.