Organization Active NPI

John E. Goff, MD PC

  • Preferred Provider Organization
  • Carl Junction, MO
National Provider Identifier
1245514959
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
R7320 Issued in MO
Legal business name
JOHN E. GOFF, MD PC
Practice address
104 S Main
Carl Junction, MO 64834
Phone
(417) 782-3600
Fax
(417) 782-2734
NPI assigned
Sep 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Dr. John E Goff, M.D.
Title
Owner
Phone
(417) 782-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X R7320 MO Primary

Addresses

Primary practice location

104 S Main
Carl Junction, MO 64834

Mailing address

PO Box 1646
Joplin, MO 64802-1646
Phone (417) 782-3600

Other identifiers 1

IdentifierTypeStateIssuer
201136603MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1245514959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1646",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648021646",
            "telephone_number": "417-782-3600",
            "fax_number": "417-782-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S MAIN",
            "city": "CARL JUNCTION",
            "state": "MO",
            "postal_code": "64834",
            "telephone_number": "417-782-3600",
            "fax_number": "417-782-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. GOFF, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-782-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": "R7320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201136603",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carl Junction, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.