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Contact Information

ANDREW S GOGGIN, MD
308 W COLLEGE AVE
GREENVILLE, IL62246
 Phone: 618-664-0771
 Fax: 618-664-3915
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ANDREW S GOGGIN · (Male)

NPI Number 1336123165
Status Active
Credentials MD
Entity Individual
Enumeration date 12/05/2005
Last updated 12/13/2023 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036108090
  • IL Medicaid 036108090
  • IL Medicaid 036108090-2
  • MO Medicaid 1336123165
Hospital affiliation(s)
  • FAYETTE COUNTY HOSPITAL - (Critical Access)
    7TH AND TAYLOR
    VANDALIA, IL 62471
  • GREENVILLE REGIONAL HOSPITAL - (Acute Care)
    200 HEALTHCARE DR
    GREENVILLE, IL 62246
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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