NPIMap

Individual provider Active NPI

Lawrence William Gooss IV, D.O.

  • Family Medicine Physician
  • Midlothian, VA
National Provider Identifier
1508092487
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102203274 Issued in VA
Practice address
14415 Justice Rd
Midlothian, VA 23113-6908
Phone
(804) 594-0125
Fax
(804) 594-0126
NPI assigned
Jun 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101018198 MI
Family Medicine Physician 207Q00000X 0102203274 VA Primary

Addresses

Primary practice location

14415 Justice Rd
Midlothian, VA 23113-6908

Mailing address

14415 Justice Rd
Midlothian, VA 23113-6908
Phone (804) 594-0125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130205000457 VA Practitioner - Family Practice 7719131424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Primary CareGroup PAC ID 2264420918, 65 clinicians
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

14415 Justice Rd
Midlothian, VA 23113-6908
Phone (804) 594-0125

6800 Woodlake Commons Loop
Midlothian, VA 23112-2281
Phone (804) 302-4589

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • James River Home Health Agency Home health agency, Richmond, VA, CCN 497706
  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • HCA Virginia Healthcare at Home Home health agency, North Chesterfield, VA, CCN 497625
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018198MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Primary Care Family Medicine CurrentSince Feb 1, 2015 Accepting new patients
Commonwealth Primary Care Family Medicine Past Accepting new patients

Locations

14415 Justice Rd
Midlothian, VA 23113
Phone (804) 594-0125

7140 Hull Street Rd
Ste 101
North Chesterfield, VA 23235
Phone (804) 276-4141

1800 Glenside Dr
Ste 110
Richmond, VA 23226
Phone (804) 288-1800

1800 Glenside Dr
Ste 105
Richmond, VA 23226
Phone (804) 288-0399

Interoperability endpoints

  • Direct secure messaging: lawrence.gooss@cpcva.eclinicaldirectplus.com

Organizations & group practices 2

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508092487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14415 JUSTICE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136908",
            "telephone_number": "804-594-0125",
            "fax_number": "804-594-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14415 JUSTICE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136908",
            "telephone_number": "804-594-0125",
            "fax_number": "804-594-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOSS",
        "first_name": "LAWRENCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101018198",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.