NPIMap

Organization Active NPI

Goshen Health System, Inc

Doing business as Goshen Physicians

  • Family Nurse Practitioner
  • Ligonier, IN
National Provider Identifier
1700627213
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
GOSHEN HEALTH SYSTEM, INC
Doing business as
Goshen Physicians
Goshen Physicians Family Medicine Ligonier
Practice address
1150 1/2 Lincolnway S
Ligonier, IN 46767-1735
Phone
(260) 894-7135
Fax
(260) 894-7221
NPI assigned
Jun 6, 2024
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 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 NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1150 1/2 Lincolnway S
Ligonier, IN 46767-1735

Mailing address

PO Box 834
Goshen, IN 46527-0834

Other names 2

  • Goshen Physicians Doing business as
  • Goshen Physicians Family Medicine Ligonier Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0884837Goshen Physicians Ligonier Family Medicine1150 1/2 Lincolnway S, Ligonier, IN 46767Provider-performed microscopySep 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Goshen Health System Inc34 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

1150 Lincolnway S
Ligonier, IN 46767
Phone (260) 894-7135

Practitioners & affiliated clinicians

Practitioners 6

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": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1700627213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 834",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465270834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 1/2 LINCOLNWAY S",
            "city": "LIGONIER",
            "state": "IN",
            "postal_code": "467671735",
            "telephone_number": "260-894-7135",
            "fax_number": "260-894-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN HEALTH SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goshen Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goshen Physicians Family Medicine Ligonier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ligonier, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.