NPIMap

Organization Active NPI

Goshen Health System, Inc

Doing business as Goshen Physicians

  • Sleep Medicine (Internal Medicine) Physician
  • Goshen, IN
National Provider Identifier
1124869623
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
GOSHEN HEALTH SYSTEM, INC
Doing business as
Goshen Physicians
Goshen Physicians Sleep & Allergy Medicine
Practice address
2417 S Berkshire Rd
Goshen, IN 46526-6815
Phone
(574) 534-9911
Fax
(574) 534-6915
NPI assigned
Jun 6, 2024
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Jonathan J Yoder
Title
VP
Phone
(574) 364-2560

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU Primary

Addresses

Primary practice location

2417 S Berkshire Rd
Goshen, IN 46526-6815

Mailing address

PO Box 834
Goshen, IN 46527-0834

Other names 2

  • Goshen Physicians Doing business as
  • Goshen Physicians Sleep & Allergy Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Goshen Health System Inc34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

2417 S Berkshire Rd
Goshen, IN 46526
Phone (574) 534-9911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1124869623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 834",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465270834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 S BERKSHIRE RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266815",
            "telephone_number": "574-534-9911",
            "fax_number": "574-534-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN HEALTH SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "574-364-2560"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goshen Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goshen Physicians Sleep & Allergy Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.