Scott David Gooch, PA

Key facts

NPI

1407950652

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

1232023 (WI)

Practice address

Marshfield Medical Center- Eau Claire
2116 Craig Rd
Eau Claire, WI 54701

Phone

(715) 858-4799

NPI assigned

Sep 9, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 9

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.

• Marshfield Clinic Inc Clinic/Center · Marshfield, WI · NPI 1952347981
  Medicare reassignment NPD WI
• MCHS Hospitals Inc Clinic/Center · Marshfield, WI · NPI 1093221434
  Medicare reassignment NPD WI
• Memorial Hospital Inc Critical Access Hospital · Neillsville, WI · NPI 1346239373
  Medicare reassignment NPD WI
• MCHS Hospitals Inc Durable Medical Equipment & Medical Supplies · Eau Claire, WI · NPI 1558230847
  NPD
• MCHS Hospitals, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Plover, WI · NPI 1386249894
  NPD
• Memorial Hospital Inc Clinic/Center · Neillsville, WI · NPI 1033701800
  NPD
• Beaver Dam Community Hospitals Inc Non-Pharmacy Dispensing Site · Beaver Dam, WI · NPI 1992954119
  NPD (past)
• Ihc-Sacred Heart Emergency Physicians, LLC Emergency Medicine Physician · Eau Claire, WI · NPI 1992847826
  NPD (past) PHYSICIAN ASSISTANT
• Henderson Emergency Physicians, PLLC Emergency Medicine Physician · Henderson, NC · NPI 1841295904
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
• Direct secure messaging: scott.gooch@marshfieldclinichealthsystem.cernerdirect.com

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 20, 2020.

{
    "created_epoch": "1157760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1407950652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MARSHFIELD MEDICAL CENTER- EAU CLAIRE",
            "address_2": "2116 CRAIG RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-858-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARSHFIELD MEDICAL CENTER- EAU CLAIRE",
            "address_2": "2116 CRAIG RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-858-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "566 Ruin Creek Rd",
            "address_2": "Box 59",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275362927",
            "country_code": "US",
            "telephone_number": "252-436-1563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-09",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02927",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1232023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Marshfield Medical Center Eau Claire",
            "address_2": "2116 Craig Rd",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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All providers in Eau Claire, WI · Physician Assistant in Wisconsin