DR. PHILIP GOUSHAW MD NPI 1316034150

NPI Information

NPI: 1316034150
Provider Name: DR. PHILIP GOUSHAW, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
330 E BELTLINE AVE NE
SUITE 100
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 752-6235
Get Directions

DR. Philip Goushaw, MD is a nephrology internal medicine in Grand Rapids, MI. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Philip Goushaw, MD NPI is 1316034150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

330 E BELTLINE AVE NE
SUITE 100
GRAND RAPIDS, MI
ZIP 49506-267
Phone: (616) 752-6235
Fax: (616) 752-6324

The enumeration date for this NPI number is 10/5/2006 and was last updated on 10/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	4301070622	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	N82520008	MEDICARE ID-TYPE UNSPECIFIED
2	4405606	MEDICAID	MICHIGAN
3	H63978	MEDICARE UPIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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