Individual provider Active NPI

Kym C Gohn, DO

  • Obstetrics & Gynecology Physician
  • Midland, MI
National Provider Identifier
1447459011
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS015655 Issued in PA
Practice address
3016 W. Wackerly St.
Midland, MI 48640-6960
Phone
(989) 631-6730
Fax
(989) 631-4398
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS015655 PA Primary

Addresses

Primary practice location

3016 W. Wackerly St.
Midland, MI 48640-6960

Mailing address

3016 W. Wackerly St.
Midland, MI 48640-6960
Phone (989) 631-6730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141015001811 MI Practitioner - Obstetrics/Gynecology 0345410171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

4401 Campus Ridge Dr
Suite Ll110
Midland, MI 48640-6126
Phone (989) 837-9400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Nov 29, 2024 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Jun 10, 2024 Accepting new patients
Great Lakes Bay Health Centers Obstetrics & Gynecology CurrentSince Jun 10, 2024 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Nov 29, 2024 Accepting new patients
McLaren Bay Region Past Accepting new patients
Mymichigan Medical Center Midland Past Accepting new patients

Locations

3175 Professional Ct
Bay City, MI 48706
Phone (989) 667-3377

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

4401 N Campus Ridge Dr
Ste LL110
Midland, MI 48640
Phone (989) 837-9400

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

Interoperability endpoints

  • Direct secure messaging: kgohn6461@mymichiganhealth.midirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1447459011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 W. WACKERLY ST.",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406960",
            "telephone_number": "989-631-6730",
            "fax_number": "989-631-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 W. WACKERLY ST.",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406960",
            "telephone_number": "989-631-6730",
            "fax_number": "989-631-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHN",
        "first_name": "KYM",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS015655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.