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DR. PHILIP GOUSHAW MD
NPI 1316034150
Internal Medicine - Nephrology in Grand Rapids, MI

Active since October 05, 2006
330 E BELTLINE AVE NE, SUITE 100, GRAND RAPIDS, MI 49506(616) 752-6235(616) 752-6324 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Philip Goushaw Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILIP GOUSHAW MD (NPI 1316034150) is an individual nephrology provider in Grand Rapids, Michigan, licensed in Michigan (4301070622) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1316034150
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. PHILIP GOUSHAWCredential: MD
Location Address330 E BELTLINE AVE NE, SUITE 100Grand Rapids, MI 49506-1267
Mailing Address330 E Beltline Ave Ne, Suite 100Grand Rapids, MI 49506-1267 · (616) 752-6235 · Fax (616) 752-6324
Phone(616) 752-6235
Fax(616) 752-6324
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 30, 2007
✔ NPI 1316034150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MI · 4301070622
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
330 E BELTLINE AVE NE, Grand Rapids, MI 49506
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Other Identifiers 3

Medicare ID-Type UnspecifiedN82520008
Medicaid4405606MI
Medicare UPINH63978MI

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMANDEEP SINGH BANGA M.D.
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Kent County (616) 752-6235
DR. MICHAEL J UNRUH M.D.
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Kent County (616) 752-6235
DR. ALBERTA ANN GARBACCIO MD
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Kent County (616) 752-6235
BOWAN DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
330 E BELTLINE AVE NE, STE 210
GRAND RAPIDS, MI 49506
Kent County (616) 285-7081
DR. BONITA A. MOHAMED MD, MA
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE
GRAND RAPIDS, MI 49506
Kent County (616) 752-6235
DR. RONALD MICHAEL HOFMANN MD
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Kent County (616) 752-6235
DR. KSENIYA VLADIMI FILIPPOVA MD
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Kent County (616) 752-6235
GINA RENEE PETERSON PA
Physician Assistant
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Kent County (616) 752-6235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Goushaw's NPI number?

The NPI number for Philip Goushaw is 1316034150. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Philip Goushaw located?

Philip Goushaw practices at 330 E Beltline Ave NE Suite 100, Grand Rapids, MI 49506. The listed phone number is (616) 752-6235.

What is Philip Goushaw's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Philip Goushaw was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.