Physician Compare National (NPI:1912081506)

HEALTHCARE PROVIDER: GARY R GOIN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1912081506
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4183749658
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100921000873
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GOIN
	Individual professional last name
Provider First Name	GARY
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	412 BLACK HILLS LN SW D
	Group Practice or individual's line 1 address
City	OLYMPIA
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	985028142
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3607546460
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	500139
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CAPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y