CHARLES E. GOFF JR. (NPI# 1982609608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982609608 |
| Entity Type | Individual |
| Full Name | CHARLES E. GOFF JR. |
| Credential | PA-C |
| Practice Address |
800 West Ave S La Crosse WI 54601-8806 |
| Practice Telephone | 6087829760 |
| Practice Fax Number | 6087754467 |
| Mailing Telephone | 6087929760 |
| Mailing Fax Number | 6087754467 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2013-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1223 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42996300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659502417 | Charles Goff Jr. | Marriage & Family Therapist | 1919 University Ave W Suite 200, St. Paul, MN 55129 | 2009-07-28 |
| 1508870205 | Charles D. Goff | Surgery | 70 Medical Center Cir, Suite 213, Fishersville, VA 22939 | 2006-07-28 |
| Street Address |
800 WEST AVE S |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-8806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323467 | Evan R Nelson | Physical Medicine & Rehabilitation | 800 West Ave S, La Crosse, WI 54601 | 2005-06-01 |
| 1366002479 | Caitlin Rae Carpenter | Physician Assistant | 800 West Ave S, La Crosse, WI 54601-8806 | 2019-06-20 |
| 1619448412 | Jenna Bauer | Nurse Practitioner | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-12-06 |
| 1871077198 | Grant Morgan | Physician Assistant | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-09-21 |
| 1477034411 | Navid Khezri | Neurological Surgery | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-08-28 |
| 1609356468 | Alexander Ehlert | Physical Therapist | 800 West Ave S, La Crosse, WI 54601 | 2018-08-20 |
| 1316426091 | Jenifer Bantle-felt | Nurse Practitioner | 800 West Ave S, La Crosse, WI 54601 | 2018-08-13 |
| 1366949026 | Teresa Ann Mallett | Family Medicine | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-04-10 |
| 1881199545 | Emily French | Family Medicine | 800 West Ave S, La Crosse, WI 54601-8806 | 2018-03-26 |
| 1073035598 | Mariah Hall | Nurse Practitioner | 800 West Ave S, La Crosse, WI 54601-8806 | 2017-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396203303 | Nicole Carmen Benkers | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2019-03-08 |
| 1407313943 | Allyssa R Tekus | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2019-02-20 |
| 1871078667 | Blayne S Kozelka | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-09-27 |
| 1336621242 | Indy Lou Spindler | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-09-06 |
| 1750873840 | Colton John Wagner | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-06-04 |
| 1881181550 | Emily V Svejnoha | Physician Assistant | 1836 South Ave, La Crosse, WI 54601 | 2018-04-18 |
| 1770091969 | Amanda Marilynne Weiss | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-01-22 |
| 1336659283 | Thomas John Yaucher | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2017-10-05 |
| 1205354248 | Leiah Emmerth | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2017-08-30 |
| 1255784138 | Laura M Jooss | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2016-07-15 |
| Find all providers in LA CROSSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.