Philip Goushaw is a Nephrology in Grand Rapids, Michigan. Philip Goushaw practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Philip Goushaw is 1316034150. The last update date is 2007-10-30.
Philip Goushaw's current location address is 330 E Beltline Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6167526235 and fax number 6167526324. The mailing address for Philip Goushaw is 330 E Beltline Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip Goushaw |
|---|---|
| Address | 330 E Beltline Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6167526235 |
| Fax Number | 6167526324 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316034150 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 330 E Beltline Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495061267 |
| Phone Number | 6167526235 |
| Fax Number | 6167526324 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 4301070622 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4405606 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Philip Goushaw?
The Philip Goushaw has been issued the NPI (National Provider Identifier) 1316034150 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Philip Goushaw is physically located?
The Philip Goushaw is physically situated at the following address: 330 E Beltline Ave Ne, Grand Rapids, MI, 495061267.
What is the Philip Goushaw's specialty and taxonomy code?
The Philip Goushaw's specialty is Nephrology, and the corresponding taxonomy code is 207Rn0300X.
On what date did the Philip Goushaw receive the assignment of its 1316034150 from the Centers for Medicare & Medicaid Services?
The Philip Goushaw was issued its 1316034150 by the Centers for Medicare & Medicaid Services on 2006-10-05.
As of what date were the details related to Philip Goushaw most recently updated or revised?
The information pertaining to Philip Goushaw, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-30.