Kyle Goham
NPI 1942638325ActiveIndividual· Anesthesiologist Assistant· Menomonee Falls, WI
Anesthesiologist Assistant with The Medical College of Wisconsin Inc, practicing in Menomonee Falls, Wisconsin. Enrolled in Medicare as practitioner - anesthesiology assistant.
Overview
| NPI | 1942638325 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 23, 2013 |
| Last updated in NPPES | Jun 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 7717 | WI |
| Anesthesiologist Assistant | 367H00000X | 006981 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (WI) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- The Medical College of Wisconsin IncMilwaukee, WI · 2,115 clinicians
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