Daniel Goggin, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.003156 Issued in IL

Practice address

2000 5TH Ave
R-116
River Grove, IL 60171-1907

Phone

(708) 456-0300

NPI assigned

Aug 6, 2014

Last updated

Dec 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dgoggin321757@direct.myadvocateaurora.org

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.

• Midland Orthopedic Associates PLLC

  • Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1104863638
  NPD Authorized official

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1336558022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 S WABASH AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162491",
            "telephone_number": "312-842-4600",
            "fax_number": "312-842-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 5TH AVE",
            "address_2": "R-116",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711907",
            "telephone_number": "708-456-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGGIN",
        "first_name": "DANIEL",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.003156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgoggin321757@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2850 S Wabash Ave Ste 100",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606162491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2850 S Wabash Ave Ste 100",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606162491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jerome Michael Fisher, RPH
• Izabela S Fratczak, LMT
• Free Your Speech
• David French, PT
• Matthew L Garstki, DPT
• Veronica Gulezian, LCPC, CADC
• Elzbieta Gurgul
• Davina Harris, LMT
• Head First Health, LLC
• Kevin Hendrix, DPT, ATC

• Athletic Trainer in River Grove, IL
• Providers in River Grove, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.