Individual provider Active NPI

John R Gosling, MD

  • Internal Medicine Physician
  • Saint Joseph, MI
National Provider Identifier
1851387302
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301047357 Issued in MI
Practice address
3950 Hollywood Rd
Suite 270
Saint Joseph, MI 49085-9159
Phone
(269) 983-0500
Fax
(269) 429-2240
NPI assigned
Sep 21, 2005
Last updated
Feb 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301047357 MI Primary

Addresses

Primary practice location

3950 Hollywood Rd
Suite 270
Saint Joseph, MI 49085-9159

Mailing address

3950 Hollywood Rd
Suite 270
Saint Joseph, MI 49085-9159
Phone (269) 983-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040409000114 MI Practitioner - Internal Medicine 4789676487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Michigan Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeland Medical PracticesGroup PAC ID 1658427042, 286 clinicians

Practice addresses (Care Compare)

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8300

31 N Saint Joseph Ave
Niles, MI 49120-2207
Phone (269) 687-1436

3950 Hollywood Rd
Saint Joseph, MI 49085-9151

3950 Hollywood Rd
Saint Joseph, MI 49085-9158

400 Medical Park Dr
Watervliet, MI 49098-9225
Phone (269) 463-3600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301047357MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Community Hospital Watervliet Current Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Apr 10, 2021 Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince Sep 27, 2014 Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince Sep 27, 2014 Accepting new patients
Lakeland Community Hospital Watervliet Internal Medicine CurrentSince Apr 10, 2021 Accepting new patients
Promedica Central Corporation of Michigan Internal Medicine CurrentSince Aug 1, 2005 Accepting new patients

Locations

777 Kimole Ln
Ste 220
Adrian, MI 49221
Phone (517) 263-6464

11775 Tecumseh Clinton Rd
Clinton, MI 49236
Phone (517) 456-4171

7040 Red Arrow Hwy
Coloma, MI 49038
Phone (269) 468-4318

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

3950 Hollywood Rd
Ste 270
Saint Joseph, MI 49085
Phone (269) 982-7840

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111

Interoperability endpoints

  • FHIR API: https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
  • Direct secure messaging: jgosling1269617@epic00.corewelldirect.org
  • Direct secure messaging: jgosling17546@lakeland.midirect.net

Organizations & group practices 6

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1851387302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 HOLLYWOOD RD",
            "address_2": "SUITE 270",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859159",
            "telephone_number": "269-983-0500",
            "fax_number": "269-429-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 HOLLYWOOD RD",
            "address_2": "SUITE 270",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859159",
            "telephone_number": "269-983-0500",
            "fax_number": "269-429-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSLING",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301047357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.