Goh Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GOH MEDICAL

Practice address

12810 Hillcrest Rd Ste B209
Dallas, TX 75230

Phone

(972) 292-7158

Fax

(877) 292-2247

NPI assigned

Nov 10, 2011

Organization subpart

No

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

Authorized official

Name

Scott E Conard, M.D.

Title

President

Phone

(817) 691-4970

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6333/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Mollee Johansen Wallace, PA-C

  • Medical Physician Assistant
  • Denton, TX
  • NPI 1700068020
  NPD (past)
• Iley Mae Mendez, APRN, MSN

  • Acute Care Nurse Practitioner
  • Saint Johns, FL
  • NPI 1912624156

  Single Specialty

  NPD (past)
• Natasha Wade, DNP-FNP

  • Family Nurse Practitioner
  • Palo Alto, CA
  • NPI 1356094049
  NPD (past)

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1619254273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 HILLCREST RD STE B209",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301525",
            "telephone_number": "972-292-7158",
            "fax_number": "877-292-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 HILLCREST RD STE B209",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "972-292-7158",
            "fax_number": "877-292-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOH MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "CONARD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-691-4970",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0001XD",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB143192",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Liselotte Goff, M.D.
• Brian Matthew Gogel, M.D.
• Margie Leigh Goggans, PA-C
• Meghana Chowdhary Gogineni
• Yasaswi Gogineni
• Ewe Ghee Goh, MD
• Jitendra N Gohil, M.D.
• Andrea K. Gohmert, AU.D.
• Florian Johann Gohn, NP
• Amy Denese Goins

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.