Individual provider Active NPI

Paulino Edwardo Goco, MD

  • Specialist
  • Murfreesboro, TN
National Provider Identifier
1346288933
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD36032 Issued in TN
Practice address
1370 Gateway Blvd
Suite 100
Murfreesboro, TN 37129-2589
Phone
(615) 848-9265
Fax
(615) 895-2155
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD36032 TN Primary

Addresses

Primary practice location

1370 Gateway Blvd
Suite 100
Murfreesboro, TN 37129-2589

Mailing address

1370 Gateway Blvd
Suite 100
Murfreesboro, TN 37129-2589
Phone (615) 848-9265

Other identifiers 1

IdentifierTypeStateIssuer
2120899MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031124000539 TN Practitioner - Otolaryngology 4486558145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Georgetown University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

1370 Gateway Blvd
Suite 100
Murfreesboro, TN 37129-2590
Phone (615) 848-9265

Hospital & facility affiliations

  • Tristar Stonecrest Medical Center Hospital, Smyrna, TN, CCN 440227

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD36032TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Oct 16, 2018 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Oct 16, 2018 Accepting new patients
Middle Tennessee Ambulatory Surgery Center, L.P. PastSince Apr 15, 2012 Accepting new patients

Locations

1370 Gateway Blvd
Ste 100
Murfreesboro, TN 37129
Phone (615) 848-9252

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

300 Stonecrest Blvd
Ste 375
Smyrna, TN 37167
Phone (615) 223-9913

Interoperability endpoints

  • Direct secure messaging: paulino.goco@ahp.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1346288933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 GATEWAY BLVD",
            "address_2": "SUITE 100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292589",
            "telephone_number": "615-848-9265",
            "fax_number": "615-895-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 GATEWAY BLVD",
            "address_2": "SUITE 100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292589",
            "telephone_number": "615-848-9265",
            "fax_number": "615-895-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOCO",
        "first_name": "PAULINO",
        "middle_name": "EDWARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD36032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2120899",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.