Individual provider Active NPI

Orson Go, MD

  • Cardiovascular Disease Physician
  • Norton, VA
National Provider Identifier
1811142169
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101250745 Issued in VA
Practice address
615 Commonwealth Dr
Norton, VA 24273-4053
Phone
(276) 679-6493
Fax
(423) 230-5097
NPI assigned
Nov 28, 2008
Last updated
Dec 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P67291 NY
Internal Medicine Physician 207R00000X 0101250745 VA
Cardiovascular Disease Physician 207RC0000X 0101250745 VA Primary
General Practice Physician 208D00000X 102186 ZZ

Addresses

Primary practice location

615 Commonwealth Dr
Norton, VA 24273-4053

Mailing address

105 W Stone Dr
Suite 6a
Kingsport, TN 37660-3365
Phone (423) 408-7220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622001872 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0244484806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roseville Cardiology Medical Associates, Inc.Group PAC ID 4688566573, 6 clinicians

Practice addresses (Care Compare)

2 Medical Plaza Dr
Suite 175
Roseville, CA 95661-3049
Phone (916) 782-2146

685 Twelve Bridges Dr
Suite G
Lincoln, CA 95648-8689
Phone (916) 782-2146

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.94 of 100Reported as group
Quality
96.33
Promoting interoperability
100
Improvement activities
40
Cost
76.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P67291NYMDInternal Medicine Physician
102186ZZMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roseville Cardiology Medical Associates, Inc. Cardiovascular Disease CurrentSince Jul 16, 2016 Accepting new patients
Northeast Tennessee Emergency Physicians PC Past Accepting new patients
Wellmont Health System Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Clinch Valley Medical Center Inc. Past Accepting new patients

Locations

11971 Heritage Oak Pl
Ste 78
Auburn, CA 95603
Phone (916) 782-2146

685 Twelve Bridges Dr
Ste D
Lincoln, CA 95648
Phone (916) 644-3148

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

2 Medical Plaza Dr
Ste 175
Roseville, CA 95661
Phone (916) 782-2146

Interoperability endpoints

  • Direct secure messaging: ogo343910@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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 4

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": "1227830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1811142169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W STONE DR",
            "address_2": "SUITE 6A",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603365",
            "telephone_number": "423-408-7220",
            "fax_number": "423-408-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 COMMONWEALTH DR",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242734053",
            "telephone_number": "276-679-6493",
            "fax_number": "423-230-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "ORSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-28",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P67291",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101250745",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101250745",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ZZ",
            "license": "102186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.