Active NPI
Mary S. Goswitz MD, PA
- Radiation Oncology Physician
- Baytown, TX
National Provider Identifier
1992020366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- J6972
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018GK | Other | BCBS | |
| 103039703 | Medicaid | TX | |
| 10017453 | Other | AMERIGROUP |
National Provider Directory
National Provider DirectoryNPI 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.