Organization Active NPI

Goshorn Aesthetic Clinic PLLC

  • Plastic Surgery Physician
  • Germantown, TN
National Provider Identifier
1225433873
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
GOSHORN AESTHETIC CLINIC PLLC
Practice address
1364 Cordova CV
Germantown, TN 38138-2200
Phone
(901) 682-4466
Fax
(901) 207-4882
NPI assigned
Oct 24, 2014
Last updated
Mar 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Mr. Neumon T Goshorn, M.D.NPI 1073537619
Title
Owner/Physician
Phone
(901) 682-4456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

1364 Cordova CV
Germantown, TN 38138-2200

Mailing address

1364 Cordova CV
Germantown, TN 38138-2200
Phone (901) 682-4466

National Provider Directory

National Provider Directory

Locations

1044 Brookfield Rd
#102
Memphis, TN 38119
Phone (901) 682-4456

Practitioners & affiliated clinicians

Practitioners 4

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": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1225433873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 CORDOVA CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382200",
            "telephone_number": "901-682-4466",
            "fax_number": "901-207-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 CORDOVA CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382200",
            "telephone_number": "901-682-4466",
            "fax_number": "901-207-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHORN AESTHETIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "GOSHORN",
        "authorized_official_first_name": "NEUMON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "901-682-4456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.