Dr. Willis Manford Gooch , MD
Pediatrics • Fort Duchesne, UT
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Willis Gooch has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Willis Gooch, MD was a registered Pediatrics practicing in Fort Duchesne, UT. Throughout an active medical career spanning 14 years, Dr. Gooch provided care at the practice location at 6822 EAST 1000 SOUTH until profile deactivation on 2021-06-21.
Practice Location & Contact Primary Location
6822 East 1000 South
Fort Duchesne, UT 84026
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Fort Duchesne, UT
Practicing in Fort Duchesne, UT (688 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Optometrist
Doctor of Optometry
Pharmacist
Registered Pharmacist
Pharmacist - Pharmacotherapy
Registered Pharmacist
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 21, 2021
NPI status registered as active in NPPES database
Registered at 6822 EAST 1000 SOUTH, FORT DUCHESNE, UT 84026 (Tel: 4357256874)
Registered at 6822 EAST 1000 SOUTH, FORT DUCHESNE, UT 84026 (Tel: 4357256874)
Recorded as WILLIS GOOCH, M.D.
Pediatrics (License #164054-1205 in UT)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
6822 East 1000 South
Fort Duchesne, UT 84026
Phone: 4357256874
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