Laura Lee Ruby Goen, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1890 Crooks Rd Ste 200
Troy, MI 48084-5540

Phone

(248) 817-6704

NPI assigned

Jun 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: laura.goen@forefrontdermatology.emadirect.md

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.

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  NPD (past)

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1255823191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 CROOKS RD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845540",
            "telephone_number": "248-817-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 CROOKS RD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845540",
            "telephone_number": "248-817-6704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 S Burdick St Ste 256",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490076112",
            "country_code": "US",
            "telephone_number": "269-290-1901",
            "fax_number": "260-290-1913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEN",
        "first_name": "LAURA",
        "middle_name": "LEE RUBY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Laura.Goen@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "535 S Burdick St Ste 256",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490076112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Laura.Goen@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2545 Capital Ave SW Ste 207",
            "city": "Battle Creek",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490157123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Martha Goldberg

• Physician Assistant in Troy, MI
• Providers in Troy, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.