Active NPI
Harold N Gooch, MD
- Family Medicine Physician
- Draper, UT
National Provider Identifier
1114910072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1811911205
- Practice address
- 12176 South 1000 East
Draper, UT 84020 - Phone
- (801) 572-3750
- Fax
- (801) 572-1097
- NPI assigned
- Aug 25, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1811911205 | UT | Primary |
Addresses
Primary practice location
12176 South 1000 East
Draper, UT 84020
Mailing address
PO Box 150610
Ogden, UT 84415-0610
Phone (801) 476-9200
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harold N Gooch MD LLC | Family Medicine | Current | Accepting new patients |
| Spencer J Hardenbrook MD PC | Family Medicine | Current | Accepting new patients |
Locations
12176 S 1000 E
Draper, UT 84020
Phone (801) 523-3023
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Draper, UT
- NPI 1508073743
-
- Family Medicine Physician
- Draper, UT
- NPI 1073909594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1114910072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 150610",
"city": "OGDEN",
"state": "UT",
"postal_code": "844150610",
"telephone_number": "801-476-9200",
"fax_number": "801-476-9208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12176 SOUTH 1000 EAST",
"city": "DRAPER",
"state": "UT",
"postal_code": "84020",
"telephone_number": "801-572-3750",
"fax_number": "801-572-1097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOCH",
"first_name": "HAROLD",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "1811911205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.