Individual provider Active NPI

Suzanne Gosch, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Fort Smith, AR
National Provider Identifier
1265747638
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2240 Issued in AR
Practice address
2000 Dodson Ave
Fort Smith, AR 72901-4824
Phone
(479) 222-6142
Fax
(479) 222-6148
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2240 AR Primary

Addresses

Primary practice location

2000 Dodson Ave
Fort Smith, AR 72901-4824

Mailing address

12101 Sapling Dr
Fort Smith, AR 72916-8411

Other practice location 1

322 N Greenwood Ave
Fort Smith, AR 72901-3454
Phone (479) 782-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2240ARMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ramey Speech Clinic, Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1265747638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 SAPLING DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 DODSON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014824",
            "telephone_number": "479-222-6142",
            "fax_number": "479-222-6148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 N Greenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729013454",
            "country_code": "US",
            "telephone_number": "479-782-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSCH",
        "first_name": "SUZANNE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "2240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.