Active NPI
Scott David Gooch, PA
- Physician Assistant
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1232023
- Practice address
- Marshfield Medical Center- Eau Claire
2116 Craig Rd
Eau Claire, WI 54701 - Phone
- (715) 858-4799
- NPI assigned
- Sep 9, 2006
- Last updated
- Oct 20, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-02927 | NC | |
| Physician Assistant | 363A00000X | 1232023 | WI | Primary |
Addresses
Primary practice location
Marshfield Medical Center- Eau Claire
2116 Craig Rd
Eau Claire, WI 54701
Mailing address
Marshfield Medical Center- Eau Claire
2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4799
Other practice location 1
566 Ruin Creek Rd
Box 59
Henderson, NC 27536-2927
Phone (252) 436-1563
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1232 | WI | MD | Clinical Medical Laboratory |
| 0010-02927 | NC | MD | Physician Assistant |
| 1232023 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Henderson Emergency Physicians, PLLC | Past | Accepting new patients | |
| Ihc-Sacred Heart Emergency Physicians, LLC | Physician Assistant | Past | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Past | Accepting new patients |
Locations
707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006
2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
- scott.gooch@marshfieldclinichealthsystem.cernerdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Marshfield Medical Center - Neillsville
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
dba Marshfield Medical Center - Eau Claire Cancer Center
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
dba Marshfield Clinic Health System - Plover Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Plover, WI
- NPI 1386249894
-
dba Memorial Hospital Inc Outreach Services
- Clinic/Center
- Neillsville, WI
- NPI 1033701800
-
dba Marshfield Medical Center - Beaver Dam Hospital InstyMeds
- Non-Pharmacy Dispensing Site
- Beaver Dam, WI
- NPI 1992954119
-
- Emergency Medicine Physician
- Eau Claire, WI
- NPI 1992847826
Physician Assistant
-
- Emergency Medicine Physician
- Henderson, NC
- NPI 1841295904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.