Kevin Thomas Gobeske, MD, PHD, MPH

Primary specialty

Neurocritical Care PhysicianTaxonomy code 2084A2900X

License

62407 Issued in CT

Practice address

20 York St. Yale-New Haven Hospital
Yale Neurology - Ynhh (Inpatient Only)
New Haven, CT 06510-3220

Phone

(203) 737-1057

NPI assigned

Mar 23, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1629344676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK STREET",
            "address_2": "LLCI 10TH FLOOR, ROOM 1004",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06520",
            "telephone_number": "203-785-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST. YALE-NEW HAVEN HOSPITAL",
            "address_2": "YALE NEUROLOGY - YNHH (INPATIENT ONLY)",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-737-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBESKE",
        "first_name": "KEVIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-23",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "CT",
            "license": "62407",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "61498",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H400348011",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariah Glover
• Lena Noelle Glowka, MD
• Gina E Gluck, M.D.
• Earl J Glusac, MD
• Melissa Rae Gobble, APRN, CRNA
• Jaya A Gobin, MD
• Bryan David Godduhn, APRN
• Elizabeth Louise Godfrey, MD
• Mark Godfrey, M.D.
• Olivia Frances Godfrey, FNP-C

• Neurocritical Care Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Neurocritical Care Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.