Active NPI
Azlyn Goff, M.D.
- Pediatric Orthopaedic Surgery Physician
- Melbourne, FL
National Provider Identifier
1962858670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- ME157327
- Practice address
- 330 N Babcock St Ste 103
Melbourne, FL 32935-7324 - Phone
- (321) 321-6551
- Fax
- (321) 204-7064
- NPI assigned
- May 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME157327 | FL | |
| Orthopaedic Surgery Physician | 207X00000X | 64058 | TN | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 64058 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | ME157327 | FL | Primary |
Addresses
Primary practice location
330 N Babcock St Ste 103
Melbourne, FL 32935-7324
Mailing address
PO Box 53
Melbourne, FL 32902-0053
Phone (321) 321-6551
Other practice location 1
3601 The Vanderbilt Clinic
Nashville, TN 37232-1530
Phone (615) 322-3000
Other practice location 2
100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115356700 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | a.goff@oportho.org | Health Information Exchange (HIE) |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME157327 | FL | MD | Pediatric Orthopaedic Surgery Physician |
| 64058 | TN | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Pointe Orthopaedics LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Florida Pediatric Group PA | Past | Accepting new patients |
Locations
330 N Babcock St
Ste 103
Melbourne, FL 32935
Phone (321) 321-6551
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AGFDAA
- agoff71574@epicdirect.hf.org
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.
-
- Pediatric Orthopaedic Surgery Physician
- Melbourne, FL
- NPI 1073385431
-
- Pediatrics Physician
- W Melbourne, FL
- NPI 1396962734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1962858670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329020053",
"telephone_number": "321-321-6551",
"fax_number": "321-204-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N BABCOCK ST STE 103",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329357324",
"telephone_number": "321-321-6551",
"fax_number": "321-204-7064"
}
],
"practiceLocations": [
{
"address_1": "3601 The Vanderbilt Clinic",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372321530",
"country_code": "US",
"telephone_number": "615-322-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Woods Rd",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "105951530",
"country_code": "US",
"telephone_number": "914-493-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOFF",
"first_name": "AZLYN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-11",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME157327",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "64058",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "TN",
"license": "64058",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "FL",
"license": "ME157327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115356700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "a.goff@oportho.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information, Service Provider",
"address_1": "330 N Babcock St Ste 103",
"city": "Melbourne",
"state": "FL",
"country_code": "US",
"postal_code": "329357324",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.