Individual provider Active NPI

Paul L Goehring, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Beaver Falls, PA
National Provider Identifier
1760482848
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
SC003497L Issued in PA
Practice address
101 Davis St
Beaver Falls, PA 15010-1241
Phone
(724) 846-0600
Fax
(724) 846-7535
NPI assigned
Jul 29, 2005
Reactivated
Mar 30, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X SC003497L PA Primary

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 PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070208000365 PA Practitioner - Podiatry 2466454129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of nail tissue693
Removal or shaving of skin growth69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC003497LPAMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul L Goehring DPM PC Primary Podiatric Medicine CurrentSince Jan 1, 2007 Accepting new patients
Paul L. Goehring DPM PastSince Jan 1, 2007 Accepting new patients

Locations

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1760482848",
    "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": {
        "last_name": "GOEHRING",
        "first_name": "PAUL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2007-10-26",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC003497L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012168660003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

Verify at the official NPI Registry.