Individual provider Active NPI

Erin Booher Goshorn, MD

  • Ophthalmology Physician
  • Rock Hill, SC
National Provider Identifier
1295783223
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16005 Issued in SC
Practice address
1674 Cranium Dr Ste 104
Rock Hill, SC 29732-3583
Phone
(803) 327-3937
Fax
(803) 792-0545
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35592 NC
Ophthalmology Physician 207W00000X 16005 SC Primary

Addresses

Primary practice location

1674 Cranium Dr Ste 104
Rock Hill, SC 29732-3583

Mailing address

1674 Cranium Dr Ste 104
Rock Hill, SC 29732-3583
Phone (803) 327-3937

Other identifiers 6

IdentifierTypeStateIssuer
C2102OtherNCMEDCOST
NT5996MedicaidSC
000000293904OtherSCUNISON HEALTH PLAN SC
NC8936361MedicaidNC
20082415OtherSCSELECT HEALTH OF SC
356260OtherNCMAMSI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20160718000085 SC Practitioner - Ophthalmology 0244334589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Toledo College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1674 Cranium Dr
Suite 104
Rock Hill, SC 29732-3583
Phone (803) 327-3937

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35592NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Eye Care & Strabismus, P.C. Ophthalmology CurrentSince Mar 4, 2014 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, P.a. Ophthalmology Past Accepting new patients

Locations

1674 Cranium Dr
Ste 104
Rock Hill, SC 29732
Phone (803) 327-3937

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_PECS

Organizations & group practices 2

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1295783223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 CRANIUM DR STE 104",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323583",
            "telephone_number": "803-327-3937",
            "fax_number": "803-792-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 CRANIUM DR STE 104",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323583",
            "telephone_number": "803-327-3937",
            "fax_number": "803-792-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSHORN",
        "first_name": "ERIN",
        "middle_name": "BOOHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "35592",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "16005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "C2102",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NT5996",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN SC",
            "identifier": "000000293904",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC8936361",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH OF SC",
            "identifier": "20082415",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "356260",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.