Cynthia Lee Goacher, M.D.
Individual provider Active NPI Family Medicine Physician · Berthoud, CO
NPI 1730124975 · NPPES record last updated Nov 30, 2016
Key facts
- NPI
- 1730124975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34359 (CO)
- Practice address
- 549 Mountain Ave
Berthoud, CO 80513-0000 - Phone
- (303) 651-5100
- Fax
- (970) 532-0608
- NPI assigned
- Jun 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34359 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Health Care,Inc | Current |
Accepting new patients | |
| Poudre Valley Health Care Inc | Current |
Accepting new patients | |
| Poudre Valley Health Care Inc. | Current | Accepting new patients |
Locations
4601 Corbett Dr
Fort Collins, CO 80528
Phone (970) 207-4800
2315 E Harmony Rd
Ste 200
Fort Collins, CO 80528
1025 Pennock Pl
Fort Collins, CO 80524
Phone (970) 495-8800
2121 E Harmony Rd
Unit 310
Fort Collins, CO 80528
Phone (970) 221-3855
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34359 | CO | |
| Family Medicine Physician | 207Q00000X | 34359 | CO | Yes |
Addresses
Primary practice location
549 Mountain Ave
Berthoud, CO 80513-0000
Mailing address
549 Mountain Ave
Berthoud, CO 80513-0000
Phone (303) 651-5100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01343599 | Medicaid | CO |
Other providers in Berthoud, CO
- Founders Healthcare, LLC
- Franklin Avenue Healthcare Inc.
- Franklin Avenue Healthcare Inc.
- Madeline Anne Gardner
- Ellen Geoffrion
- Carri Grimditch
- Lisa Diane Hancock
- Healingthebeing
- Heron Lakes Dentistry PLLC
- Heron Pointe Dental, PLLC
All providers in Berthoud, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.