Active NPI
Stephen William Goff, MA, CCC-A
- Audiologist
- Venice, FL
National Provider Identifier
1174673131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY 1450
- Practice address
- 2379 E Venice Ave
Venice, FL 34292-3197 - Phone
- (941) 485-6006
- NPI assigned
- Jan 11, 2007
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY 1450 | FL | Primary |
Addresses
Primary practice location
2379 E Venice Ave
Venice, FL 34292-3197
Mailing address
8800 SE Sunnyside Rd
Ste 300-N
Clackamas, OR 97015-5738
Phone (503) 659-5115
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY 1450 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hector N. Hernandez, M.D., P.a. | Past | Accepting new patients | |
| Sarasota Hearing Center, Inc. | Audiologist | Past | Accepting new patients |
| Professional Hearing Group LLC | Audiologist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Port Charlotte, FL
- NPI 1346486552
-
- Audiologist
- Sarasota, FL
- NPI 1982884086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1174673131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 SE SUNNYSIDE RD",
"address_2": "STE 300-N",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155738",
"telephone_number": "503-659-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2379 E VENICE AVE",
"city": "VENICE",
"state": "FL",
"postal_code": "342923197",
"telephone_number": "941-485-6006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFF",
"first_name": "STEPHEN",
"middle_name": "WILLIAM",
"credential": "MA, CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY 1450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.