JILL ANNE GOFF C.N.P. NPI 1811993587

NPI Information

NPI: 1811993587
Provider Name: JILL ANNE GOFF, C.N.P.
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
20 W WENGER RD
ENGLEWOOD, OH
ZIP 45322
Phone: (937) 771-5100
Get Directions

Jill Anne Goff, C.N.P. is an obstetrics and gynecology nurse practitioner in Englewood, OH. Jill Anne Goff, C.N.P. NPI is 1811993587. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 W WENGER RD
ENGLEWOOD, OH
ZIP 45322-722
Phone: (937) 771-5100
Fax: (937) 832-3014

The NPI 1811993587 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2005 and was last updated on 4/1/2013.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	01698-NP	OHIO	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	H154410	MEDICARE PIN	OHIO
2	2479250	MEDICAID	OHIO
3	P03732	MEDICARE UPIN	OHIO

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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