Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 29982 | WV |
N | 208200000X | Surgeon | 12275 | NV |
N | 208600000X | Surgeon | 12275 | NV |
N | 208200000X | Surgeon | 29982 | WV |
N | 208600000X | Surgeon | 29982 | WV |
N | 2086S0120X | Pediatric Surgery | 12275 | NV |
N | 2086S0120X | Pediatric Surgery | 29982 | WV |
N | 2086S0120X | Pediatric Surgery | 31758 | AL |
Y | 2086S0120X | Pediatric Surgery | 35.063349 | OH |
NPI | 1427130160 |
---|---|
Provider Name | Dr. John R Gosche |
First Address | Chesterland, OH 44026-2447 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 11/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00124161 | (05) | MS |
0104147 | (05) | OH |
100512192 | (05) | NV |
222004 | (05) | AZ |