Deserae J Goble MD PC
NPI 1407232903 · Family Medicine Physician · Logan, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Deserae J Goble MD PC is a Family Medicine Physician organization in Logan, UT (NPI 1407232903).
Provider details
- NPI number
- 1407232903
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Deserae Goble, Owner(435) 363-7853
- License
- 5010200-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-08-06
- Last updated
- 2021-08-31
- Certified
- 2021-08-31
Frequently asked questions
- What is Deserae J Goble MD PC's NPI number?
- Deserae J Goble MD PC's National Provider Identifier (NPI) is 1407232903, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deserae J Goble MD PC?
- Deserae J Goble MD PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Deserae J Goble MD PC located?
- Deserae J Goble MD PC's practice location on file with NPPES is 1451 N 200 E Ste 250, Logan, UT 84341-7570.
- What is Deserae J Goble MD PC's phone number?
- The practice phone number listed in the NPPES registry for Deserae J Goble MD PC is (435) 363-7853.
- Does Deserae J Goble MD PC accept Medicare?
- Deserae J Goble MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Deserae J Goble MD PC?
- The authorized official listed on Deserae J Goble MD PC's NPPES record is Deserae Goble, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deserae J Goble MD PC's NPI active?
- Yes — Deserae J Goble MD PC's NPI (1407232903) is active in the NPPES registry as of the last update on 2021-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.