Organization Active NPI

Mary S. Goswitz MD, PA

  • Radiation Oncology Physician
  • Baytown, TX
National Provider Identifier
1992020366
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
J6972 Issued in TX
Legal business name
MARY S. GOSWITZ MD, PA
Practice address
4021 Garth Rd
Suite 105
Baytown, TX 77521-3160
Phone
(281) 420-8557
Fax
(281) 427-2911
NPI assigned
Mar 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Mary Sue Goswitz, MD
Title
President
Phone
(281) 420-8557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X J6972 TX Primary

Addresses

Primary practice location

4021 Garth Rd
Suite 105
Baytown, TX 77521-3160

Mailing address

PO Box 1297
Baytown, TX 77522-1297
Phone (281) 420-8557

Other identifiers 3

IdentifierTypeStateIssuer
0018GKOtherBCBS
103039703MedicaidTX
10017453OtherAMERIGROUP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1992020366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1297",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775221297",
            "telephone_number": "281-420-8557",
            "fax_number": "281-427-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 GARTH RD",
            "address_2": "SUITE 105",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213160",
            "telephone_number": "281-420-8557",
            "fax_number": "281-427-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY S. GOSWITZ MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "GOSWITZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-420-8557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "J6972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0018GK",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103039703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10017453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.