Organization Active NPI

Gerald R Goss D.O., P.a.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1730351362
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0001386 Issued in FL
Legal business name
GERALD R GOSS D.O., P.A.
Practice address
1713 Foxbower Rd
Orlando, FL 32825-6506
Phone
(407) 277-7671
Fax
(407) 277-7326
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Gerald R Goss, D.O.
Title
Dr
Phone
(407) 277-7671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS0001386 FL Primary

Addresses

Primary practice location

1713 Foxbower Rd
Orlando, FL 32825-6506

Mailing address

1713 Foxbower Rd
Orlando, FL 32825-6506
Phone (407) 277-7671

Other identifiers 4

IdentifierTypeStateIssuer
81231OtherFLBLUE CROSS BLUE SHIELD FL
10829OtherFLFL HOSP HEALTHCARE SYSTEM
046391400MedicaidFL
014743136OtherGAPALMETTO GBA RR MCR

National Provider Directory

National Provider Directory

Locations

1713 Foxbower Rd
Orlando, FL 32825
Phone (407) 277-7671

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1730351362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 FOXBOWER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256506",
            "telephone_number": "407-277-7671",
            "fax_number": "407-277-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 FOXBOWER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256506",
            "telephone_number": "407-277-7671",
            "fax_number": "407-277-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD R GOSS D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "407-277-7671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0001386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "81231",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HOSP HEALTHCARE SYSTEM",
            "identifier": "10829",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046391400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MCR",
            "identifier": "014743136",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.