Danville Medical Specialty

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DANVILLE MEDICAL SPECIALTY

Practice address

504 Tenikat St
Danville, KY 40422-1751

Phone

(859) 319-8487

NPI assigned

Aug 23, 2018

Last updated

Aug 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Gooch, APRNNPI 1740635010

Title

Owner

Phone

(859) 319-8487

Specialties & licenses 1

Addresses

Locations

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.

• Tim Gooch, APRN

  • Family Nurse Practitioner
  • Harrodsburg, KY
  • NPI 1740635010
  Authorized official Same address or phone

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1326529827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23794",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154488",
            "telephone_number": "859-319-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 TENIKAT ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221751",
            "telephone_number": "859-319-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE MEDICAL SPECIALTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "GOOCH",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-319-8487",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danville Family Dre LLC
• Danville Independent Schools
• Danville Interventional Pain
• Danville Medical Practice PLLC
• Danville Medical Specialists
• Danville Nephrology Consultants
• Danville Orthopaedics & Sports Medicine, PSC
• Danville Osteopathic Internist P.S.C.
• Danville Pathology Associates PLLP
• Danville Pediatric Dentistry, PSC

• Family Nurse Practitioner in Danville, KY
• Providers in Danville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.