Larry Edward Gottfried, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

205550 Issued in OH

Practice address

630 E River St
Elyria, OH 44035-5902

Phone

(877) 230-9617

Fax

(877) 281-8770

NPI assigned

Mar 26, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1851667786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300090543",
            "telephone_number": "678-983-4479",
            "fax_number": "404-751-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E RIVER ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355902",
            "telephone_number": "877-230-9617",
            "fax_number": "877-281-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTFRIED",
        "first_name": "LARRY",
        "middle_name": "EDWARD",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "OH",
            "license": "205550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naveen Gopal, MD
• Amy L Gordon, FNP
• Christina Gordon, BC-HIS
• Patricia Gordon
• Adjondi Marie Gosseaux, NURSE PRACTITIONER
• Govind K Mehta, M.D., Inc.
• Dale Zachary Salio-an Gozum, DO
• Paul Grabenstetter, M.D.
• Shawanda Grace
• Bethany Graham

• Registered Nurse First Assistant in Elyria, OH
• Providers in Elyria, OH by specialty
• Registered Nurse First Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.