Individual provider Active NPI

David Alan Goran, MD

  • Ophthalmology Physician
  • Muskegon, MI
National Provider Identifier
1265544969
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301079878 Issued in MI
Practice address
1150 E Sherman Blvd
Ste 1500
Muskegon, MI 49444-1871
Phone
(231) 737-9378
Fax
(231) 737-1023
NPI assigned
Aug 31, 2006
Last updated
Nov 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301079878 MI Primary

Addresses

Primary practice location

1150 E Sherman Blvd
Ste 1500
Muskegon, MI 49444-1871

Mailing address

1150 E Sherman Blvd
Ste 1500
Muskegon, MI 49444-1871
Phone (231) 737-9378

Other identifiers 1

IdentifierTypeStateIssuer
0004960267MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061106000280 MI Practitioner - Ophthalmology 5294732293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Human Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Correspondence PCGroup PAC ID 8527545979, 2 clinicians

Practice addresses (Care Compare)

1450 Farr Rd
Suite 2000
Norton Shores, MI 49444-8797
Phone (231) 737-9378

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301079878MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Correspondence PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

1450 Farr Rd
Ste 2000
Norton Shores, MI 49444
Phone (231) 638-1414

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1265544969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E SHERMAN BLVD",
            "address_2": "STE 1500",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441871",
            "telephone_number": "231-737-9378",
            "fax_number": "231-737-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E SHERMAN BLVD",
            "address_2": "STE 1500",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441871",
            "telephone_number": "231-737-9378",
            "fax_number": "231-737-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORAN",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301079878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004960267",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.