NPIMap

Individual provider Active NPI

John David Googe, M.D.

  • Orthopaedic Surgery Physician
  • Shreveport, LA
National Provider Identifier
1255470118
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
LA202057 Issued in LA
Practice address
1500 Line Avenue
Ste 100
Shreveport, LA 71101
Phone
(318) 635-3052
Fax
(318) 635-3072
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X LA202057 LA Primary

Addresses

Primary practice location

1500 Line Avenue
Ste 100
Shreveport, LA 71101

Mailing address

1534 Elizabeth Ave Ste 301
Shreveport, LA 71101-4531
Phone (318) 629-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080715000839 LA Practitioner - Orthopedic Surgery 9133209679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

1500 Line Ave
Suite 100
Shreveport, LA 71101-4644
Phone (318) 635-3052

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.38 of 100Reported as group
Quality
87.5
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement24
Knee replacement81
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Upper limb (arm) arthroscopy (minimally invasive joint repair)101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LA202057LAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musculoskeletal Institute of Louisiana, LLC Orthopaedic Surgery CurrentSince Jul 1, 2007 Accepting new patients
Musculoskeletal Institute of Louisiana, L.L.C. Orthopaedic Surgery CurrentSince Jul 1, 2007 Accepting new patients
McBride Clinic Inc Orthopaedic Surgery Past Accepting new patients

Locations

2005 Landry Dr
Bossier City, LA 71111
Phone (318) 752-7850

1500 Line Ave
Shreveport, LA 71101
Phone (318) 213-3754

1500 Line Ave
Ste 100
Shreveport, LA 71101
Phone (318) 635-3052

1534 Elizabeth Ave
Ste 301
Shreveport, LA 71101
Phone (318) 629-5002

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: john.googemd.p1@direct.msil.nextgenshare.com

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1255470118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 ELIZABETH AVE STE 301",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014531",
            "telephone_number": "318-629-5001",
            "fax_number": "318-629-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LINE AVENUE",
            "address_2": "STE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-635-3052",
            "fax_number": "318-635-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOGE",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "LA202057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.