Active NPI
May Ha Goetsch, ACNP
- Acute Care Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 835332
- Practice address
- 1521 Cooper St
Fort Worth, TX 76104-2711 - Phone
- (817) 336-5864
- Fax
- (817) 336-2159
- NPI assigned
- Nov 6, 2013
- Last updated
- Aug 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 835332 | TX | Primary |
Addresses
Primary practice location
1521 Cooper St
Fort Worth, TX 76104-2711
Mailing address
601 Omega Dr
Suite 206
Arlington, TX 76014-2075
Phone (817) 465-5881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 339207YQFJ | Other | TX | MEDICARE PTAN |
Other names 1
- May Ha Vong
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 W Colorado Blvd
Suite 525
Dallas, TX 75208-2312
Phone 214960568175
2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone (682) 341-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 835332 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valor Interventional Pain, LLC | Current | Accepting new patients | |
| Valor Interventional Pain, LLC | Current | Accepting new patients | |
| DFW Critical Care LLC | Current | Accepting new patients | |
| Dallas Pulmonary & Critical Care PA | Acute Care | Current | Accepting new patients |
| Integrative Emergency Services Physician Group PA | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Current | Accepting new patients | |
| Texas Pulmonary & Critical Care Consultants, PA | Past | Accepting new patients |
Locations
6311 Southwest Blvd
Benbrook, TX 76132
Phone (817) 731-9400
221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
1001 College Ave
Ste A
Ft Worth, TX 76104
Phone (817) 336-1852
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828
100 Gateway Hills Ln
Ste C
Granbury, TX 76049
Phone (682) 936-2544
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75
2300 Lone Star Rd
Mansfield, TX 76063
Phone (682) 341-5000
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Exceed Medical P.A.
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1235402728
Acute Care
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Critical Care Medicine (Internal Medicine) Physician
- Fort Worth, TX
- NPI 1184071771
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1285922542
-
dba Valor Pain
- Pain Medicine (Anesthesiology) Physician
- Granbury, TX
- NPI 1073094967
-
- Pain Medicine (Anesthesiology) Physician
- Fort Worth, TX
- NPI 1104440411
-
- Pulmonary Disease Physician
- Dallas, TX
- NPI 1871004473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1629407077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 OMEGA DR",
"address_2": "SUITE 206",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760142075",
"telephone_number": "817-465-5881",
"fax_number": "817-465-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 COOPER ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042711",
"telephone_number": "817-336-5864",
"fax_number": "817-336-2159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOETSCH",
"first_name": "MAY",
"middle_name": "HA",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-06",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "835332",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "339207YQFJ",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MAY",
"last_name": "VONG",
"middle_name": "HA",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.