NPIMap

Organization Active NPI

Goshen Health System Inc

Doing business as Goshen Physicians

  • Family Medicine Physician
  • Middlebury, IN
National Provider Identifier
1538900352
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GOSHEN HEALTH SYSTEM INC
Doing business as
Goshen Physicians
Jayco Occupational Medicine Onsite Clinic
Practice address
903 S Main St
Middlebury, IN 46540-8529
Phone
(574) 825-0590
Fax
(574) 825-0603
NPI assigned
Jun 5, 2024
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Jonathan J Yoder
Title
VP
Phone
(574) 364-2560

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Nurse Practitioner 363L00000X

Addresses

Primary practice location

903 S Main St
Middlebury, IN 46540-8529

Mailing address

903 S Main St
Middlebury, IN 46540-8529
Phone (574) 825-0590

Other names 2

  • Goshen Physicians Doing business as
  • Jayco Occupational Medicine Onsite Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Primecare Physician Net34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

903 S Main St
Middlebury, IN 46540
Phone (574) 825-0590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1538900352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 S MAIN ST",
            "city": "MIDDLEBURY",
            "state": "IN",
            "postal_code": "465408529",
            "telephone_number": "574-825-0590",
            "fax_number": "574-825-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S MAIN ST",
            "city": "MIDDLEBURY",
            "state": "IN",
            "postal_code": "465408529",
            "telephone_number": "574-825-0590",
            "fax_number": "574-825-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "574-364-2560"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goshen Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jayco Occupational Medicine Onsite Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middlebury, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.