Daniel D Goran, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036077549 Issued in IL

Practice address

1261 University Dr
Suite D
Edwardsville, IL 62025-5586

Phone

(618) 692-6718

Fax

(618) 692-9558

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in IL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dr Greg Gabliani LTD

  • Cardiovascular Disease Physician
  • Alton, IL
  • NPI 1558402362
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1932167616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 UNIVERSITY DR",
            "address_2": "SUITE D",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255586",
            "telephone_number": "618-692-6718",
            "fax_number": "618-692-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 UNIVERSITY DR",
            "address_2": "SUITE D",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255586",
            "telephone_number": "618-692-6718",
            "fax_number": "618-692-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORAN",
        "first_name": "DANIEL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036077549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shandra Dawn Goersch, MSN, RN
• Stephanie R Goggin, OD
• Bryan Gomez, RBT
• Sabrina Gomez
• Haley Nichole Goodfellow, RD, LDN
• Cassandra Gordon, OTR/L
• Morgan Graham, BEHAVIOR TECHNICIAN
• Grand View Dental Arts, LLC (Borden Dental Arts)
• Lonn J Grandia, MD
• Julia Michelle Green, RN, SRNA

• Specialist in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.