NPIMap

Organization Active NPI

Goshen Health System Inc

  • Family Medicine Physician
  • Goshen, IN
National Provider Identifier
1750122578
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GOSHEN HEALTH SYSTEM INC
Practice address
67315 County Road 31
Goshen, IN 46528-9300
Phone
(574) 534-1143
Fax
(574) 534-1153
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Jonathan J Yoder
Title
Vice President
Phone
(574) 364-2560

Specialties & licenses 1

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

Addresses

Primary practice location

67315 County Road 31
Goshen, IN 46528-9300

Mailing address

67315 County Road 31
Goshen, IN 46528-9300
Phone (574) 534-1143

Other names 2

  • Fairfield Community Schools Onsite Clinic Doing business as
  • Goshen Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Goshen Health System34 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

67315 County Road 31
Goshen, IN 46528
Phone (574) 534-1143

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": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1750122578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67315 COUNTY ROAD 31",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465289300",
            "telephone_number": "574-534-1143",
            "fax_number": "574-534-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67315 COUNTY ROAD 31",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465289300",
            "telephone_number": "574-534-1143",
            "fax_number": "574-534-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "574-364-2560"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfield Community Schools Onsite Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goshen Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.