Provider Demographics
NPI:1194789438
Name:GOFF, DAVID HOWARD (DO)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HOWARD
Last Name:GOFF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 WHIPPLE AVE N.W.
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720
Mailing Address - Country:US
Mailing Address - Phone:330-966-8689
Mailing Address - Fax:330-494-8627
Practice Address - Street 1:6200 WHIPPLE AVE N.W.
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720
Practice Address - Country:US
Practice Address - Phone:330-966-8689
Practice Address - Fax:330-494-8627
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-00-6262-G2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0271370Medicaid
OH0271370Medicaid
GO0804135Medicare ID - Type Unspecified