Individual provider Active NPI

Thomas R Goyne III, AU.D.

  • Audiologist
  • Wayne, PA
National Provider Identifier
1346273513
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT005952 Issued in PA
Practice address
230 Sugartown Rd
Suite 10
Wayne, PA 19087-3029
Phone
(610) 688-6003
Fax
(610) 688-6007
NPI assigned
Jul 9, 2006
Last updated
Jan 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT005952 PA Primary

Addresses

Primary practice location

230 Sugartown Rd
Suite 10
Wayne, PA 19087-3029

Mailing address

230 Sugartown Rd
Suite 10
Wayne, PA 19087-3029
Phone (610) 688-6003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081217000294 PA Practitioner - Qualified Audiologist 5890857387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Goyne and Associates, LLCGroup PAC ID 1052473543, 2 clinicians

Practice addresses (Care Compare)

230 Sugartown Rd
Suite 10
Wayne, PA 19087-3071
Phone (610) 688-6003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT005952PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Goyne & Associates, LLC CurrentSince Sep 30, 2008 Accepting new patients

Locations

230 Sugartown Rd
Ste 10
Wayne, PA 19087
Phone (610) 688-6003

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1346273513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SUGARTOWN RD",
            "address_2": "SUITE 10",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873029",
            "telephone_number": "610-688-6003",
            "fax_number": "610-688-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SUGARTOWN RD",
            "address_2": "SUITE 10",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873029",
            "telephone_number": "610-688-6003",
            "fax_number": "610-688-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYNE",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT005952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.