Mark G Goss, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

J4162 Issued in TX

Practice address

4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7856

Phone

(903) 408-5770

Fax

(903) 408-5779

NPI assigned

May 15, 2006

Last updated

Aug 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND, WY2 enrollments

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 2

Specialty

General Surgery

Education

University of Texas Medical School at San Antonio, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lutheran Charity AssociationGroup PAC ID 2264341031, 168 clinicians

Community HospitalGroup PAC ID 6608784194, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Hospital, Torrington, WY, CCN 531307
• Jamestown Regional Medical Center Hospital, Jamestown, ND, CCN 351335

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bva4139@yourcarecommunity.org
• Direct secure messaging: mark.goss.1@20210.direct.athenahealth.com

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.

• Community Hospital

  • Critical Access Hospital
  • Torrington, WY
  • NPI 1669410643

  Surgery

  Medicare reassignment Care Compare group NPD
• Lutheran Charity Association

  dba Jamestown Regional Medical Center

  • Critical Access Hospital
  • Jamestown, ND
  • NPI 1548256753
  Medicare reassignment Care Compare group NPD
• Banner Health Physicians West LLC

  • Multi-Specialty Clinic/Center
  • Casper, WY
  • NPI 1063778728
  Medicare reassignment NPD
• Lutheran Charity Association

  dba Jamestown Regional Medical Center Physician Group

  • Emergency Medicine Physician
  • Jamestown, ND
  • NPI 1821044652
  Medicare reassignment
• John W Richardson MD PA

  • Family Medicine Physician
  • Decatur, TX
  • NPI 1376589408
  NPD
• Banner Health Physicians West LLC

  • Multi-Specialty Clinic/Center
  • Ogallala, NE
  • NPI 1154687812
  NPD
• Community Hospital

  • Multi-Specialty Clinic/Center
  • Torrington, WY
  • NPI 1164950036
  NPD
• Community Hospital

  • Rural Health Clinic/Center
  • Torrington, WY
  • NPI 1174059786
  NPD

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

• Community Hospital

  • Critical Access Hospital
  • Torrington, WY
  • NPI 1669410643
  Care Compare affiliation
• Lutheran Charity Association

  dba Jamestown Regional Medical Center

  • Critical Access Hospital
  • Jamestown, ND
  • NPI 1548256753
  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1851342638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 JOE RAMSEY BLVD E STE 100",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017856",
            "telephone_number": "903-408-5770",
            "fax_number": "903-408-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 JOE RAMSEY BLVD E STE 100",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017856",
            "telephone_number": "903-408-5770",
            "fax_number": "903-408-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "MARK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J4162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122308304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00375814",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goodluck Homestead Enterprises LP
• Amanda Goodwin, COTA
• Lauren Gordon, LCSW
• Goss Chiropractic & Wellness PLLC
• Erica Lynn Goss, PTA
• Thomas J. Goss, DC
• Gracious Community Homes Inc
• Camille Alicia Graham, MD
• Deanna Grandstaff, PA
• Grapevine Mission Hospice, LLC (Elara Caring)

• Surgery Physician in Greenville, TX
• Providers in Greenville, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.