Individual provider Active NPI

Joseph H Goro, MD

  • Pediatrics Physician
  • Bradford, PA
National Provider Identifier
1881891133
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD431962 Issued in PA
Practice address
116 Interstate Pkwy
Bradford, PA 16701-1036
Phone
(814) 368-3123
Fax
(814) 363-2701
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD431962 PA Primary

Addresses

Primary practice location

116 Interstate Pkwy
Bradford, PA 16701-1036

Mailing address

PO Box 159
Bradford, PA 16701-0159
Phone (814) 368-3123

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140403000916 PA Practitioner - Pediatric Medicine 5890927982 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital Current Accepting new patients
Olean General Hospital Pediatrics CurrentSince Jan 15, 2018 Accepting new patients
Olean General Hospital Past Accepting new patients
Bradford Regional Medical Services Pediatrics Past Accepting new patients

Locations

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

116 Interstate Pkwy
Ste 42
Bradford, PA 16701
Phone (814) 362-8390

200 Pleasant St
Bradford, PA 16701
Phone (814) 362-8293

Interoperability endpoints

  • Direct secure messaging: josephgoro@healthsystemphysicianpc.medentdirect.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1881891133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167010159",
            "telephone_number": "814-368-3123",
            "fax_number": "814-363-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 INTERSTATE PKWY",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011036",
            "telephone_number": "814-368-3123",
            "fax_number": "814-363-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORO",
        "first_name": "JOSEPH",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD431962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

Verify at the official NPI Registry.