Organization Active NPI

William J. Gogan, MD PA

  • Orthopaedic Surgery Physician
  • N Palm Beach, FL
National Provider Identifier
1447415658
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0058162 Issued in FL
Legal business name
WILLIAM J. GOGAN, MD PA
Practice address
701 Northlake Blvd
Suite 208
N Palm Beach, FL 33408-5215
Phone
(561) 848-7768
NPI assigned
Jul 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
William J. Gogan, M.DNPI 1619050101
Title
President
Phone
(561) 848-7768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X ME0058162 FL Primary

Addresses

Primary practice location

701 Northlake Blvd
Suite 208
N Palm Beach, FL 33408-5215

Mailing address

701 Northlake Blvd
Suite 208
N Palm Beach, FL 33408-5215
Phone (561) 848-7768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120831000262 FL Part B Supplier - Clinic/Group Practice 3072760743 Receives reassigned benefits from 1 practitioner
Practice locations: North Palm Beach, FL; Port St Lucie, FL

National Provider Directory

National Provider Directory

Locations

1541 SE Port St Lucie Blvd
Ste G
Port St Lucie, FL 34952
Phone (561) 627-7771

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1447415658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NORTHLAKE BLVD",
            "address_2": "SUITE 208",
            "city": "N PALM BEACH",
            "state": "FL",
            "postal_code": "334085215",
            "telephone_number": "561-848-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NORTHLAKE BLVD",
            "address_2": "SUITE 208",
            "city": "N PALM BEACH",
            "state": "FL",
            "postal_code": "334085215",
            "telephone_number": "561-848-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. GOGAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "GOGAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-848-7768",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0058162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.