Individual provider Active NPI

Andew Goesel, D.C.

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1962610477
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007092 Issued in IL
Practice address
3985 Swift Rd
Sarasota, FL 34231-6540
Phone
(941) 218-0001
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-007092 IL Primary

Addresses

Primary practice location

3985 Swift Rd
Sarasota, FL 34231-6540

Mailing address

227 Laurel Hollow Dr
Nokomis, FL 34275-4014
Phone (708) 717-6062

Other identifiers 3

IdentifierTypeStateIssuer
0001683022OtherILOTHER
1033277538OtherILGOESEL CHIROPRACTIC NPI
0031640430OtherILBCBS OF ILLINOIS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-007092ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Wellness Club, Inc Chiropractor PastSince Jul 24, 2022 Accepting new patients
Comprehensive Physical Medicine, SC PastSince Mar 1, 2012 Accepting new patients

Organizations & group practices 2

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962610477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 LAUREL HOLLOW DR",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342754014",
            "telephone_number": "708-717-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 SWIFT RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316540",
            "telephone_number": "941-218-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOESEL",
        "first_name": "ANDEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "0001683022",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOESEL CHIROPRACTIC  NPI",
            "identifier": "1033277538",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "0031640430",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.