Daniel Goshorn, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110-006404 Issued in VA

Practice address

1368 American Way
Bedford, VA 24523-2940

Phone

(540) 587-8612

NPI assigned

Sep 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Bedford Family Urgent Care, Inc

  • Family Medicine Physician
  • Bedford, VA
  • NPI 1033150115
  Medicare reassignment

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1477037950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CHASE DR APT 103",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245513109",
            "telephone_number": "814-599-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 AMERICAN WAY",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232940",
            "telephone_number": "540-587-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSHORN",
        "first_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-006404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF VIRGINIA BOARD OF MEDICINE",
            "identifier": "0110-006404",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samir Ghobrial, MD
• Jordan Elizabeth Giles
• Megan K Giles
• Christine J Gilmore, NP
• Anthony Gonzalez, PHARMD
• Jennifer Robinson Guerin
• Rachel Elizabeth Guest
• H & R Pest Control, Inc
• Mary Pat Hamilton, M.D.
• Haley Smith Hammond, MD

• Physician Assistant in Bedford, VA
• Providers in Bedford, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.