Active NPI
Kenton Bing-Hock Goh, MD
- Emergency Medicine Physician
- Bonners Ferry, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 24216
- Practice address
- 6640 Kaniksu St
Bonners Ferry, ID 83805-7532 - Phone
- (208) 267-3141
- Fax
- (208) 267-2202
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 24216 | TN | Primary |
| Emergency Medicine Physician | 207P00000X | M-11866 | ID |
Addresses
Primary practice location
6640 Kaniksu St
Bonners Ferry, ID 83805-7532
Mailing address
6640 Kaniksu St
Bonners Ferry, ID 83805-7532
Phone (208) 267-3141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Kentucky College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1519 Main St
Sneedville, TN 37869-3657
Phone (423) 787-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-11866 | ID | MD | Emergency Medicine Physician |
| 24216 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Regional Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Emergency Care Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
401 Takoma Ave
Greeneville, TN 37743
Phone (423) 639-3151
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
1519 Main St
Sneedville, TN 37869
Phone (423) 733-5000
310 3rd St NE
Norton, VA 24273
Phone (276) 679-9116
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.
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1669410304
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sneedville, TN
- NPI 1053340158
-
- Medicare Defined Swing Bed Hospital Unit
- Sneedville, TN
- NPI 1225068711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1972547172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6640 KANIKSU ST",
"city": "BONNERS FERRY",
"state": "ID",
"postal_code": "838057532",
"telephone_number": "208-267-3141",
"fax_number": "208-267-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6640 KANIKSU ST",
"city": "BONNERS FERRY",
"state": "ID",
"postal_code": "838057532",
"telephone_number": "208-267-3141",
"fax_number": "208-267-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOH",
"first_name": "KENTON",
"middle_name": "BING-HOCK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "24216",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "M-11866",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonners Ferry, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.