Provider Demographics
NPI:1801987227
Name:CABALLERO-GOEHRINGER, LINDA G (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:G
Last Name:CABALLERO-GOEHRINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3512 SR 257 STE 107
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:PA
Mailing Address - Zip Code:16346-2946
Mailing Address - Country:US
Mailing Address - Phone:814-670-0260
Mailing Address - Fax:814-253-2600
Practice Address - Street 1:3512 SR 257 STE 107
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346-2946
Practice Address - Country:US
Practice Address - Phone:814-670-0260
Practice Address - Fax:814-253-2600
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10004381208000000X
PAMD447940208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014938480003Medicaid
DEC1-0004381OtherDE LICENSE NUMBER
DE1493848Medicaid
DE1493848Medicaid