Active NPI
George Simon Goetz, MD
- Gastroenterology Physician
- Martins Ferry, OH
National Provider Identifier
1366509978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 24647
- Practice address
- 90 N 4TH St
Suite 300N
Martins Ferry, OH 43935-1648 - Phone
- (740) 633-4765
- Fax
- (740) 633-6450
- NPI assigned
- Jan 2, 2007
- Last updated
- Mar 20, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 01047428 | IN | |
| Gastroenterology Physician | 207RG0100X | 24647 | WV | Primary |
Addresses
Primary practice location
90 N 4TH St
Suite 300N
Martins Ferry, OH 43935-1648
Mailing address
PO Box 2831
West Virginia Gastroenterology & Endoscopy
Elkins, WV 26241-2831
Phone (304) 637-2360
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810021993 | Medicaid | WV | |
| 200264500A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3310
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 111 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 151 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24647 | WV | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reynolds Memorial Hospital, Inc | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| David J. Black, MD, LLC | Gastroenterology | Past | Accepting new patients |
Locations
90 N 4th St
Ste 300N
Martins Ferry, OH 43935
Phone (614) 633-4765
92 N 4th St
Ste A
Martins Ferry, OH 43935
Phone (740) 633-4303
800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520
Organizations & group practices 5
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Glen Dale, WV
- NPI 1518068014
-
- Gastroenterology Physician
- Bellaire, OH
- NPI 1982974721
-
- Gastroenterology Physician
- Beech Grove, IN
- NPI 1891904322
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Dale, WV
- NPI 1144228305
-
dba Wetzel County Hospital
- Rural Acute Care Hospital
- New Martinsville, WV
- NPI 1376175240
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395273600000",
"number": "1366509978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2831",
"address_2": "WEST VIRGINIA GASTROENTEROLOGY & ENDOSCOPY",
"city": "ELKINS",
"state": "WV",
"postal_code": "262412831",
"telephone_number": "304-637-2360",
"fax_number": "304-637-2362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 N 4TH ST",
"address_2": "SUITE 300N",
"city": "MARTINS FERRY",
"state": "OH",
"postal_code": "439351648",
"telephone_number": "740-633-4765",
"fax_number": "740-633-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOETZ",
"first_name": "GEORGE",
"middle_name": "SIMON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2014-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IN",
"license": "01047428",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WV",
"license": "24647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810021993",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200264500A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martins Ferry, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.