Individual provider Active NPI

Kathryn Rae Goebel, MD

  • Obstetrics & Gynecology Physician
  • Avon, OH
National Provider Identifier
1932398914
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
096691 Issued in OH
Practice address
36901 American Way
Suite a
Avon, OH 44011
Phone
(440) 930-6200
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 57013595 OH
Obstetrics & Gynecology Physician 207V00000X 096691 OH Primary

Addresses

Primary practice location

36901 American Way
Suite a
Avon, OH 44011

Mailing address

36901 American Way
Suite a
Avon, OH 44011
Phone (440) 930-6200

Other names 1

  • Dr. Kathryn Watson Rae Former name

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
I20110929000217 OH Practitioner - Obstetrics/Gynecology 3971774621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York at Buffalo School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

36901 American Way
Suite a
Avon, OH 44011-4058
Phone (440) 930-6200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
096691OHMDObstetrics & Gynecology Physician
57013595OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 23, 2011 Accepting new patients
Fairview Hospital Obstetrics & Gynecology CurrentSince Nov 17, 2018 Accepting new patients
Fairview Hospital CurrentSince Nov 17, 2018 Accepting new patients
Wooster Clinic, LLC CurrentSince Feb 2, 2026 Accepting new patients

Locations

36901 American Way
Ste A
Avon, OH 44011
Phone (440) 930-6200

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

10654 Lorain Ave
Cleveland, OH 44111
Phone (216) 941-1044

850 Columbia Rd
Ste 330
Westlake, OH 44145
Phone (440) 835-3883

721 E Milltown Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • Direct secure messaging: kgoebelmd143362@direct.ccf.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1932398914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36901 AMERICAN WAY",
            "address_2": "SUITE A",
            "city": "AVON",
            "state": "OH",
            "postal_code": "44011",
            "telephone_number": "440-930-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36901 AMERICAN WAY",
            "address_2": "SUITE A",
            "city": "AVON",
            "state": "OH",
            "postal_code": "44011",
            "telephone_number": "440-930-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "KATHRYN",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "57013595",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "096691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "RAE",
            "middle_name": "WATSON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.