Individual provider Active NPI

David Michael Gooler, MA, PHD

  • Audiologist
  • Amherst, MA
National Provider Identifier
1174030852
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4721-SP-AU Issued in MA
Practice address
358 N Pleasant St
Amherst, MA 01003-9296
Phone
(413) 545-2565
Fax
(413) 545-8670
NPI assigned
Jan 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 4721-SP-AU MA Primary

Addresses

Primary practice location

358 N Pleasant St
Amherst, MA 01003-9296

Mailing address

358 N Pleasant St
Amherst, MA 01003-9296
Phone (413) 545-9493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180320000705 MA Practitioner - Qualified Audiologist 9133481757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
University of MassachusettsGroup PAC ID 6507843760, 6 clinicians

Practice addresses (Care Compare)

358 N Pleasant St
Amherst, MA 01003-9296
Phone (413) 545-2565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4721MAMDRegistered Dietitian
4721-SP-AUMAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Massachusetts Audiologist CurrentSince Jan 8, 2018 Accepting new patients
University of Massachusetts Audiologist PastSince Jan 8, 2018 Accepting new patients

Locations

150 Infirmary Way
Amherst, MA 01003
Phone (413) 577-5000

358 N Pleasant St
Amherst, MA 01003
Phone (413) 545-2565

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.

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1174030852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 N PLEASANT ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010039296",
            "telephone_number": "413-545-9493",
            "fax_number": "413-545-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 N PLEASANT ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010039296",
            "telephone_number": "413-545-2565",
            "fax_number": "413-545-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLER",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MA, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "4721-SP-AU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.