Individual provider Active NPI

Robert Daniel Goff, D.O.

  • Emergency Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1184679672
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
006785 Issued in NV
Practice address
477 Sunrise Villa Dr
Las Vegas, NV 89110-4043
Phone
(702) 278-4464
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 006785 NV Primary

Addresses

Primary practice location

477 Sunrise Villa Dr
Las Vegas, NV 89110-4043

Mailing address

477 Sunrise Villa Dr
Las Vegas, NV 89110-4043
Phone (702) 278-4464

Other identifiers 1

IdentifierTypeStateIssuer
920844MedicaidNV

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
006785NVMDEmergency Medicine Physician
1130NVMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nopah Vista Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Nevada Em-I Silver-Homansky Medical Services Professional Corporation Emergency Medicine Past Accepting new patients
Lake Mead Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Emcare Physician Providers Inc Emergency Medicine Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1184679672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 SUNRISE VILLA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891104043",
            "telephone_number": "702-278-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 SUNRISE VILLA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891104043",
            "telephone_number": "702-278-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "ROBERT",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "006785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "920844",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.