Josiah A. Goldammer, D.O.
Individual provider Active NPI Family Medicine Physician · Jordan, MN
NPI 1124383575 · NPPES record last updated May 30, 2023
Key facts
- NPI
- 1124383575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 73592 (MN)
- Practice address
- 265 Creek LN S
Jordan, MN 55352-1214 - Phone
- (952) 428-1200
- NPI assigned
- Jul 11, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 9
Medicare Care Compare profile
- 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 Murray
Practice addresses (Care Compare)
2042 Juniper Ave
Slayton, MN 56172-1017
Phone (507) 836-6111
Hospital & facility affiliations
- Avera at Home Marshall
- Good Sam Society Home Care of SW MN
- Hospice of Murray County Inc
- Murray County Memorial Hospital
- Sanford Usd Medical Center
- Sanford Worthington Medical Center
- Murray County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- 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 |
|---|---|---|---|---|
| I20230502000786 | MN | Practitioner - Family Practice | 3577825629 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73592 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Murray | Current |
Accepting new patients | |
| County of Murray | Current |
Accepting new patients | |
| St Francis Regional Medical Center | Current |
Accepting new patients | |
| St. Francis Regional Medical Center | Current |
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
- jgoldammer211103@excellian.direct.allina.com
- josiah.goldammer@avera.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO-05148 | IA | |
| Family Medicine Physician | 207Q00000X | 73592 | MN | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgoldammer211103@excellian.direct.allina.com | Direct |
Other providers in Jordan, MN
- Katie Ferraz-Souza
- First Choice Pharmacy of Jordan MN, PLLC
- First Choice Pharmacy of Jordan PC
- Jenny Flynn
- Krista Lee Fromm
- Nicole Halvorson
- Clare Hamer
- Patrick Hardy
- Sarah Hippen
- Ind School Dist 717
All providers in Jordan, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2023. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.