Michael Raymond Goeller, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2017-00385 Issued in NC

Practice address

2555 Court Dr Ste 270
Gastonia, NC 28054-2185

Phone

(704) 834-4390

Fax

(704) 834-3274

NPI assigned

Mar 20, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225455934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531797",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303531797",
            "telephone_number": "704-834-4390",
            "fax_number": "704-834-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 COURT DR STE 270",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542185",
            "telephone_number": "704-834-4390",
            "fax_number": "704-834-3274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 S Sterling St",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554044",
            "country_code": "US",
            "telephone_number": "828-580-5354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOELLER",
        "first_name": "MICHAEL",
        "middle_name": "RAYMOND",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2017-00385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remika Nichelle Glover, M.S.
• Kavithashree Gnanasekaran, MD
• Alan Abraham Godel, DDS
• Reagan Henderson Godette, RN
• Anita Hopkins Godwin, P.A.C.
• Jessica Sigmon Goins, FNP-C
• Melissa Golden Turner, LCSW
• Wesley Golding, AGACNP
• Christine A Golien, RN
• Ali-Reza Golshayan, MD

• Internal Medicine Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.