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Scott David Gooch, PA

Physician Assistant in Eau Claire, WI. Individual provider (NPI-1).

NPI number1407950652
StatusActive
Last updated in NPPESOct 20, 2020

Details

NPI
1407950652
Entity type
Individual (NPI-1)
Name
Scott David Gooch
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Sep 9, 2006
Certification date
Oct 19, 2020
Last updated
Oct 20, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant1232023WIYes
363A00000X Physician Assistant0010-02927NC

Practice location

Marshfield Medical Center- Eau Claire
2116 Craig Rd
Eau Claire, WI 54701

Phone 715-858-4799

Mailing address

Marshfield Medical Center- Eau Claire
2116 Craig Rd
Eau Claire, WI 54701

Phone 715-858-4799

Other practice locations

566 Ruin Creek Rd
Box 59
Henderson, NC 27536-2927

Phone 252-436-1563

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Eau Claire, WI

All 107 Physician Assistant providers in Eau Claire · All 3,636 providers in Eau Claire

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