Active NPI
Laura Ann Goguen, M.D.
- Otolaryngology Physician
- Brookline, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 153621
- Practice address
- 111 Cypress St
Brookline, MA 02445-6002 - Phone
- (857) 307-0896
- Fax
- (617) 525-6511
- NPI assigned
- Jan 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 153621 | MA | Primary |
Addresses
Primary practice location
111 Cypress St
Brookline, MA 02445-6002
Mailing address
47 Valley Rd
Wellesley, MA 02481-1445
Phone (781) 431-2202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179426 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Michigan State University College of Human Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
45 Francis St
Boston, MA 02115-6105
Phone (617) 732-5500
450 Brookline Ave
Boston, MA 02215-5418
Phone (617) 632-3586
450 Brookline Ave
Boston, MA 02215-5450
Hospital & facility affiliations
- Dana-Farber Cancer Institute
- Brigham and Women'S Hospital
- Brigham and Women Faulkner Hospital
- Newton-Wellesley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 18 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153621 | MA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Brigham & Womens Hospital, Inc. | Past | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Past | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
75 Francis St
Fl 2
Boston, MA 02115
Phone (617) 732-6040
450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061
20 Prospect St
Milford, MA 01757
Phone (508) 478-2061
Interoperability endpoints
- goguen.laura.bwh@direct.partners.masshiway.net
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
- Durable Medical Equipment & Medical Supplies
- Chestnut Hill, MA
- NPI 1497429237
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1265464598
-
- Durable Medical Equipment & Medical Supplies
- Boston, MA
- NPI 1225079940
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
-
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1427036854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 VALLEY RD",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024811445",
"telephone_number": "781-431-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CYPRESS ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024456002",
"telephone_number": "857-307-0896",
"fax_number": "617-525-6511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOGUEN",
"first_name": "LAURA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "153621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179426",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.