Wallace Adam Goforth, CRNA

Nurse anesthetist in Longview, Texas · NPI 1497295901

Wallace Goforth is one of 84 nurse anesthetists practicing in Longview, Texas. Wallace Goforth practices with Northstar Anesthesia III PA and U S Anesthesia Partners Of Texas, PA.

Registry record (NPPES)

NPI
1497295901
Type
Type 1 · Individual
Primary taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Address on file
405 W Jackson St
Carbondale, IL 62901-1462
(618) 549-0721
Enumerated
Mar 2, 2017
Record last updated
Oct 9, 2025
License states listed
IL, NY, TX

Medicare (CMS)

Enrollment
Medicare-enrolled in LA, TX
Certified Registered Nurse Anesthetist (CRNA)
Revalidation due
No date set by CMS

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Practice locations

More nurse anesthetists in Longview

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.