Individual provider Active NPI

Scott David Gooch, PA

  • Physician Assistant
  • Eau Claire, WI
National Provider Identifier
1407950652
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1232023 Issued in WI
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000524 WI Practitioner - Physician Assistant 9931169729 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1232WIMDClinical Medical Laboratory
0010-02927NCMDPhysician Assistant
1232023WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc CurrentSince May 26, 2021 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Memorial Hospital Inc CurrentSince May 26, 2021 Accepting new patients
MCHS Hospitals, Inc. CurrentSince Oct 18, 2020 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 18, 2020 Accepting new patients
Marshfield Clinic Inc CurrentSince Oct 18, 2020 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

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

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

Verify at the official NPI Registry.