Active NPI
Jerald Dean Goehring, PA
- Physician Assistant
- Kissimmee, FL
National Provider Identifier
1346274164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2127
- Practice address
- 400 Celebration PL
Kissimmee, FL 34747-4970 - Phone
- (407) 303-4000
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2127 | CO | Primary |
Addresses
Primary practice location
400 Celebration PL
Kissimmee, FL 34747-4970
Mailing address
500 Winderley PL Ste 115
Maitland, FL 32751-7406
Phone (407) 875-0555
Other practice location 1
6906 W 10th St
Greeley, CO 80634
Phone (970) 392-4330
Other practice location 2
1801 16th St
Greeley, CO 80631-5154
Phone (970) 679-9349
Other practice location 3
6906 W 10th St
Greeley, CO 80634
Phone (970) 392-4330
Other practice location 4
2127 E Harmony Rd Ste 140
Fort Collins, CO 80528
Phone (970) 297-6250
Other names 1
- Jerold Dean Goehring
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.2 of 100
- Quality
- 78.64
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2127 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Thompson Emergency Physicians, PC | Physician Assistant | Current | Accepting new patients |
| Quantum Plus LLC | Physician Assistant | Past | Accepting new patients |
| Observation Medicine Specialists LLC | Past | Accepting new patients | |
| Mercy Urgent Care | Physician Assistant | Past | Accepting new patients |
| Epmg of Michigan, P.C. | Physician Assistant | Past | Accepting new patients |
Locations
2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Orlando, FL
- NPI 1326033341
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- Emergency Medicine Physician
- Loveland, CO
- NPI 1598365330
Physician Assistant
-
- Internal Medicine Physician
- Maitland, FL
- NPI 1134596893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1346274164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WINDERLEY PL STE 115",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517406",
"telephone_number": "407-875-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CELEBRATION PL",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347474970",
"telephone_number": "407-303-4000"
}
],
"practiceLocations": [
{
"address_1": "6906 W 10th St",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "80634",
"country_code": "US",
"telephone_number": "970-392-4330",
"fax_number": "970-392-4331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 16th St",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806315154",
"country_code": "US",
"telephone_number": "970-679-9349",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6906 W 10th St",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "80634",
"country_code": "US",
"telephone_number": "970-392-4330",
"fax_number": "970-392-4331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2127 E Harmony Rd Ste 140",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "80528",
"country_code": "US",
"telephone_number": "970-297-6250",
"fax_number": "970-297-6260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOEHRING",
"first_name": "JERALD",
"middle_name": "DEAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2021-12-14",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "2127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEROLD",
"last_name": "GOEHRING",
"middle_name": "DEAN",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.