MEDICARE: DR. THOMAS FRED GOFORTH MD

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
1	207Q00000X	Family Medicine Physician	12260	OK

General Provider Information

NPI Number	:	1710041280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS FRED GOFORTH MD

Provider Business Mailing Address
First Line	:	7410 S MACARTHUR BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73169-6908
Country	:	US
Telephone Number	:	405-680-4074
Fax Number	:	405-680-4035

Provider Business Practice Location Address
First Line	:	7410 S MACARTHUR BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73169-6908
Country	:	US
Telephone Number	:	405-680-4074
Fax Number	:	405-680-4035

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1285188821 — TAIWO ARISE DNP, APRN, FNP-C
Practice Location Address:

7410 S MACARTHUR BLVD
OKLAHOMA CITY, OK
73169-6908

Practice Phone: 405-680-4075
Practice Fax:

1477010056 — THERESA DIANNE STENMARK
Practice Location Address:

7410 S MACARTHUR BLVD
OKLAHOMA CITY, OK
73169-6908

Practice Phone: 405-680-4075
Practice Fax: 405-680-4095

1720612443 — FEDERAL TRANSFER CENTER OKLAHOMA CITY
Practice Location Address:

7410 S MACARTHUR BLVD
OKLAHOMA CITY, OK
73169-6908

Practice Phone: 405-682-4075
Practice Fax: 405-680-4095

1356653257 — LATISHA DENISE PORTER MS
Practice Location Address:

920 NW 109TH ST
OKLAHOMA CITY, OK
73114-6908

Practice Phone: 405-200-3582
Practice Fax:

1275809956 — MS. SCHERRYL JENNICE COULTER
Practice Location Address:

6908 FREEDOM AVE
OKLAHOMA CITY, OK
73135-1908

Practice Phone: 405-922-8586
Practice Fax:

1528523008 — MITCHELL HASTINGS RN
Practice Location Address:

904 NW 109TH ST
OKLAHOMA CITY, OK
73114-6908

Practice Phone: 425-343-8044
Practice Fax:

Directions to “ DR. THOMAS FRED GOFORTH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.