Healthcare Provider Details

I. General information

NPI: 1740338482
Provider Name (Legal Business Name): PAUL L GOEHRING DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 DAVIS ST
BEAVER FALLS PA
15010-1241
US

IV. Provider business mailing address

101 DAVIS ST
BEAVER FALLS PA
15010-1241
US

V. Phone/Fax

Practice location:
  • Phone: 724-846-0600
  • Fax: 724-846-7535
Mailing address:
  • Phone: 724-846-0600
  • Fax: 724-846-7535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberSC003497L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC003497L
License Number StatePA

VIII. Authorized Official

Name: PAUL LEROY GOEHRING
Title or Position: OWNER
Credential: DPM
Phone: 724-846-0600