NPIMap

Organization Active NPI

Paul L Goehring DPM PC

  • Primary Podiatric Medicine Podiatrist
  • Beaver Falls, PA
National Provider Identifier
1740338482
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
SC003497L Issued in PA
Legal business name
PAUL L GOEHRING DPM PC
Practice address
101 Davis St
Beaver Falls, PA 15010-1241
Phone
(724) 846-0600
Fax
(724) 846-7535
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Paul Leroy Goehring, DPMNPI 1760482848
Title
Owner
Phone
(724) 846-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213EP1101X SC003497L PA Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X SC003497L PA

Addresses

Primary practice location

101 Davis St
Beaver Falls, PA 15010-1241

Mailing address

101 Davis St
Beaver Falls, PA 15010-1241
Phone (724) 846-0600

Other identifiers 1

IdentifierTypeStateIssuer
0012168660003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070208000396 PA Part B Supplier - Clinic/Group Practice 1254333917 Receives reassigned benefits from 1 practitioner
Practice locations: Beaver Falls, PA
O20100930081197 PA DME Supplier - Physician - Podiatry 1254333917 Practice locations: Beaver Falls, PA

National Provider Directory

National Provider Directory

Locations

71 Darlington Rd
Beaver Falls, PA 15010
Phone (724) 846-2086

101 Davis St
Beaver Falls, PA 15010
Phone (724) 846-0600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1740338482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DAVIS ST",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101241",
            "telephone_number": "724-846-0600",
            "fax_number": "724-846-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DAVIS ST",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101241",
            "telephone_number": "724-846-0600",
            "fax_number": "724-846-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL L GOEHRING DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "GOEHRING",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-846-0600",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC003497L",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC003497L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012168660003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.