NPIMap

Individual provider Active NPI

Josiah A. Goldammer, D.O.

  • Family Medicine Physician
  • Jordan, MN
National Provider Identifier
1124383575
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
73592 Issued in MN
Practice address
265 Creek LN S
Jordan, MN 55352-1214
Phone
(952) 428-1200
NPI assigned
Jul 11, 2012
Last updated
May 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO-05148 IA
Family Medicine Physician 207Q00000X 73592 MN Primary

Addresses

Primary practice location

265 Creek LN S
Jordan, MN 55352-1214

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgoldammer211103@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230502000786 MN Practitioner - Family Practice 3577825629 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MurrayGroup PAC ID 7810806064, shared by 2 NPIs, 8 clinicians

Practice addresses (Care Compare)

2042 Juniper Ave
Slayton, MN 56172-1017
Phone (507) 836-6111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO-05148IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Murray CurrentSince Nov 1, 2023 Accepting new patients
St. Francis Regional Medical Center CurrentSince May 8, 2023 Accepting new patients
County of Murray CurrentSince Nov 1, 2023 Accepting new patients
St Francis Regional Medical Center CurrentSince May 8, 2023 Accepting new patients

Locations

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227

Interoperability endpoints

  • Direct secure messaging: jgoldammer211103@excellian.direct.allina.com
  • Direct secure messaging: josiah.goldammer@avera.sdhealthlink.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1124383575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 CREEK LN S",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521214",
            "telephone_number": "952-428-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDAMMER",
        "first_name": "JOSIAH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-05148",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "73592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgoldammer211103@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "265 Creek Ln S",
            "city": "Jordan",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553521214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jordan, MN

Sources for this page

Verify at the official NPI Registry.