Go Gently Medical Group, Inc

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

GO GENTLY MEDICAL GROUP, INC

Practice address

10365 SE Sunnyside Rd Ste 340
Clackamas, OR 97015-5751

Phone

(503) 698-9811

Fax

(503) 698-8988

NPI assigned

Nov 13, 2020

Last updated

Nov 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Veronica E Fedjur

Title

National Dir of Payer Contracts

Phone

(801) 325-6181

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Madelyn R. Carey, DNP, FNP-BC

  • Nurse Practitioner
  • Fresno, CA
  • NPI 1326660572
  NPD (past)
• Carlos F Eltagunde, NP-C

  • Nurse Practitioner
  • Merced, CA
  • NPI 1265096101
  NPD (past)
• Alicia Martinez

  • Social Worker
  • Costa Mesa, CA
  • NPI 1538637145
  NPD (past)

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1891397931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10365 SE SUNNYSIDE RD STE 340",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155751",
            "telephone_number": "503-698-9811",
            "fax_number": "503-698-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10365 SE SUNNYSIDE RD STE 340",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155751",
            "telephone_number": "503-698-9811",
            "fax_number": "503-698-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO GENTLY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "FEDJUR",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NATIONAL DIR OF  PAYER CONTRACTS",
        "authorized_official_telephone_number": "801-325-6181"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Glasgow, CF-SLP
• Richard Glatt
• Harry Steven Glauber, MD
• Globe Weis Management Group
• Go Big, Inc. (Tri-Care Wheelchair Services, Inc.)
• John Christopher Goddard, MD
• Stephen L Godsil, PA
• McCartney Goff, DC
• Amir Goharbin, M.D.
• Susan Gohlke, RPH

• Hospice and Palliative Medicine (Internal Medicine) Physician in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.