Active NPI
John R Gosche, MD
- Pediatric Surgery Physician
- Cleveland, OH
National Provider Identifier
1427130160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 35.063349
- Practice address
- 11100 Euclid Ave
Cleveland, OH 44106-1716 - Phone
- (216) 844-3015
- Fax
- (216) 844-8687
- NPI assigned
- Oct 20, 2006
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 29982 | WV | |
| Surgery Physician | 208600000X | 12275 | NV | |
| Pediatric Surgery Physician | 2086S0120X | 31758 | AL | |
| Pediatric Surgery Physician | 2086S0120X | 35.063349 | OH | Primary |
| Surgery Physician | 208600000X | 29982 | WV | |
| Pediatric Surgery Physician | 2086S0120X | 29982 | WV | |
| Pediatric Surgery Physician | 2086S0120X | 12275 | NV |
Addresses
Primary practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Mailing address
8055 Mayfield Rd Ste 105
Chesterland, OH 44026-2447
Other practice location 1
1600 Medical Center Dr Ste 2500
Huntington, WV 25701-3657
Phone (304) 691-1200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100512192 | Medicaid | NV | |
| 00124161 | Medicaid | MS | |
| 222004 | Medicaid | AZ | |
| 0104147 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.gosche@marshall.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31758 | AL | MD | Pediatric Surgery Physician |
| 12275 | NV | MD | Pediatric Surgery Physician |
| 35.063349 | OH | MD | Pediatric Surgery Physician |
| 29982 | WV | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgery Associates, PLLC | Surgery | Past | Accepting new patients |
Interoperability endpoints
- hbrar446927@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1427130160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8055 MAYFIELD RD STE 105",
"city": "CHESTERLAND",
"state": "OH",
"postal_code": "440262447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716",
"telephone_number": "216-844-3015",
"fax_number": "216-844-8687"
}
],
"practiceLocations": [
{
"address_1": "1600 Medical Center Dr Ste 2500",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "257013657",
"country_code": "US",
"telephone_number": "304-691-1200",
"fax_number": "304-691-1287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOSCHE",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "29982",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NV",
"license": "12275",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "AL",
"license": "31758",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "OH",
"license": "35.063349",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "29982",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "WV",
"license": "29982",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "NV",
"license": "12275",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100512192",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00124161",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "222004",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0104147",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "john.gosche@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "1600 Medical Center Dr Ste 2500",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257013657",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.