Charles Keith Goeking, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

R1B80 Issued in MO

Practice address

901 Heartland Rd
Suite 2800
Saint Joseph, MO 64506-6200

Phone

(816) 271-1395

Fax

(816) 271-1217

NPI assigned

Jul 12, 2006

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

Other identifiers 10

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1235154246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD",
            "address_2": "SUITE 2800",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645066200",
            "telephone_number": "816-271-1395",
            "fax_number": "816-271-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD",
            "address_2": "SUITE 2800",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645066200",
            "telephone_number": "816-271-1395",
            "fax_number": "816-271-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEKING",
        "first_name": "CHARLES",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R1B80",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "138418",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201507803",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS MERCY FAMILY HEALTH",
            "identifier": "465445",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN",
            "identifier": "10001058601",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100142990B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "602290",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "44054528964506V015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08853026",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4535018",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00036087",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald Gillig, MSW
• Erin T Gilliland, MD
• Lauren Jo Gilpin, PTA
• Corissa G Giseburt, RN
• Melissa A Glenski, R.PH.
• Lisa Ann Goin, D.D.S.
• Bonnie K Goins, MD
• Alexandra Gokee
• James Roger Golden, DC
• William Gondring, MD

• Obstetrics & Gynecology Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.