Provider Profile

Wallace A. Goforth, CRNA

Unclaimed Profile

About Wallace Goforth

Wallace A. Goforth, CRNA is a certified registered nurse anesthetist practicing in Carbondale, IL. Wallace is also listed as specializing in registered nurse. Medicare claims data shows Wallace provided 285 services to 279 patients. The services billed most often include anesthesia for other procedure on large bowel using an endoscope, anesthesia for exam of colon using an endoscope, and anesthesia for lens surgery.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Education & Training

School Other Graduated: 2017

Specialty

Certified Registered Nurse Anesthetist (Primary)
Certified Registered Nurse Anesthetist (Additional)
Registered Nurse (Additional)
Certified Registered Nurse Anesthetist (Additional)

Credentials & Licensing

IL license209016165
IL license041.449328
NY license857695
TX license1113831
NPI1497295901
NPI issued03/02/2017

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Wallace A. Goforth?

Wallace A. Goforth is a certified registered nurse anesthetist in Carbondale, IL. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Wallace A. Goforth's address?

Wallace A. Goforth is listed at 405 W Jackson St, Carbondale, IL 62901. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Wallace A. Goforth?

The number on file is (618) 549-0721. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Wallace A. Goforth?

Wallace A. Goforth's National Provider Identifier is 1497295901. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Wallace A. Goforth train?

Wallace A. Goforth attended Other, graduating in 2017. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Wallace A. Goforth have?

Wallace A. Goforth has 9 years experience. Calculated from a graduation year of 2017, reported in the CMS National Downloadable File.

CMS public data

What procedures does Wallace A. Goforth perform?

According to Medicare billing data, Wallace A. Goforth provides treatments such as anesthesia for other procedure on large bowel using an endoscope and anesthesia for exam of colon using an endoscope. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Wallace A. Goforth's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Wallace A. Goforth. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.