NPIMap

Organization Active NPI

Eduardo H Goo MD Inc PS

  • Internal Medicine Physician
  • Bellingham, WA
National Provider Identifier
1326119868
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00037074 Issued in WA
Legal business name
EDUARDO H GOO MD INC PS
Practice address
470 Birchwood Ave
Suite B
Bellingham, WA 98225
Phone
(360) 756-6696
Fax
(360) 756-8006
NPI assigned
Nov 13, 2006
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Dr. Eduardo H Goo, MDNPI 1376561266
Title
Owner
Phone
(360) 756-6696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00037074 WA Primary

Addresses

Primary practice location

470 Birchwood Ave
Suite B
Bellingham, WA 98225

Mailing address

470 Birchwood Ave
Suite B
Bellingham, WA 98225
Phone (360) 756-6696

Other identifiers 1

IdentifierTypeStateIssuer
1118090MedicaidWA

National Provider Directory

National Provider Directory

Locations

470 Birchwood Ave
Ste B
Bellingham, WA 98225
Phone (360) 756-6696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1326119868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 BIRCHWOOD AVE",
            "address_2": "SUITE B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-756-6696",
            "fax_number": "360-756-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 BIRCHWOOD AVE",
            "address_2": "SUITE B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-756-6696",
            "fax_number": "360-756-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO H GOO MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "GOO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-756-6696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00037074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1118090",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.