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NPI Code Detail

MEDICARE: THOMAS L GOFF M.D.

MEDICARE: THOMAS L GOFF M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician42092KY
2207RI0011XInterventional Cardiology Physician42092KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376767962
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS L GOFF M.D.
Provider Business Mailing Address
First Line : PO BOX 936
Second Line :
City : LONDON
State : KY
Zip : 40743-0936
Country : US
Telephone Number : 606-330-7835
Fax Number : 606-330-7825
Provider Business Practice Location Address
First Line : 1401 HARRODSBURG RD STE A300
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3787
Country : US
Telephone Number : 859-276-4429
Fax Number : 859-276-5902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 05/02/2019

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