Individual provider Active NPI

Edward Keim Goering, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Milwaukie, OR
National Provider Identifier
1962424481
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
DO19450 Issued in OR
Practice address
6564 SE Lake Rd Ste 101
Milwaukie, OR 97222-2138
Phone
(503) 236-2303
Fax
(503) 236-2614
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X DO19450 OR Primary
Family Medicine Physician 207Q00000X DO19450 OR

Addresses

Primary practice location

6564 SE Lake Rd Ste 101
Milwaukie, OR 97222-2138

Mailing address

6564 SE Lake Rd Ste 101
Milwaukie, OR 97222-2138
Phone (503) 236-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Osteopathic Medical Associates Neuromusculoskeletal Medicine & Omm PastSince Jan 1, 1990 Accepting new patients
Family Medical Associates PC Family Medicine Past Accepting new patients
Bauer Medical Group Family Medicine Past Accepting new patients

Organizations & group practices 3

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1962424481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6564 SE LAKE RD STE 101",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222138",
            "telephone_number": "503-236-2303",
            "fax_number": "503-236-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6564 SE LAKE RD STE 101",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222138",
            "telephone_number": "503-236-2303",
            "fax_number": "503-236-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERING",
        "first_name": "EDWARD",
        "middle_name": "KEIM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OR",
            "license": "DO19450",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO19450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.