Individual provider Active NPI

Scott A Goeller, DO

  • Family Medicine Physician
  • Springboro, OH
National Provider Identifier
1932155645
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.002849 Issued in OH
Practice address
360 W Central Ave
Springboro, OH 45066-1106
Phone
(937) 208-7100
Fax
(937) 208-7125
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.002849 OH Primary

Addresses

Primary practice location

360 W Central Ave
Springboro, OH 45066-1106

Mailing address

360 W Central Ave
Springboro, OH 45066-1106
Phone (937) 208-7100

Other practice location 1

1911 Old Fairfield Rd Ste 110A
Beavercreek, OH 45432-2754
Phone (937) 429-4826

Other identifiers 1

IdentifierTypeStateIssuer
0398243MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100303000131 OH Practitioner - Family Practice 3870638737 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc Family Medicine Current Accepting new patients
Mvhe, Inc CurrentSince Oct 21, 1996 Accepting new patients
Mvhe Inc CurrentSince Oct 21, 1996 Accepting new patients
Mvhe Inc Family Medicine Past Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

360 W Central Ave
Springboro, OH 45066
Phone (937) 208-7100

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932155645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W CENTRAL AVE",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450661106",
            "telephone_number": "937-208-7100",
            "fax_number": "937-208-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W CENTRAL AVE",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450661106",
            "telephone_number": "937-208-7100",
            "fax_number": "937-208-7125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 Old Fairfield Rd Ste 110A",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454322754",
            "country_code": "US",
            "telephone_number": "937-429-4826",
            "fax_number": "937-429-4575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOELLER",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.002849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0398243",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

Verify at the official NPI Registry.