Timothy A Goedde in Indianapolis - Surgical Oncology

Timothy A Goedde - NPI 1306841820

Timothy A Goedde is a Surgical Oncology in Indianapolis, Indiana. Timothy A Goedde practices all healthcare services and medical treatments related to Surgical Oncology. The NPI Number for Timothy A Goedde is 1306841820. The last update date is 2023-11-27.

Timothy A Goedde's current location address is 7430 N Shadeland Ave, Indianapolis, Indiana. You can contact this provider via phone number 3172882456 and fax number 3172882461. The mailing address for Timothy A Goedde is 7430 N Shadeland Ave, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy A Goedde
Address 7430 N Shadeland Ave, Indianapolis, Indiana
Phone Number 3172882456
Fax Number 3172882461
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1306841820
Provider Enumeration Date 2005-06-21
Last Updated Date 2023-11-27

Provider Mailing Address Detail

Address 7430 N Shadeland Ave
City Indianapolis
State Indiana (IN)
Post Code 4625020360
Phone Number 3172882456
Fax Number 3172882461

Provider's Primary Taxonomy Detail

Speciality Surgical Oncology
Taxonomy 2086X0206X
Licence No 01039996A
Definition:
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100441710 IN --
P01347706 IN MEDICARE RR PTAN
775120 IN ANTHEM
4258887 IN AETNA

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FAQs about Timothy A Goedde

What is the unique identification code assigned to Timothy A Goedde by the Centers for Medicare & Medicaid Services?

The Timothy A Goedde has been issued the NPI (National Provider Identifier) 1306841820. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Timothy A Goedde's facilities are situated?

The facilities of Timothy A Goedde are physically located at the following address: 7430 N Shadeland Ave, Indianapolis, IN, 4625020360.

What is Timothy A Goedde's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Timothy A Goedde is Surgical Oncology, and the taxonomy code that classifies this field of practice is 2086X0206X.

On what date was the 1306841820 assigned to Timothy A Goedde?

The Timothy A Goedde was issued its 1306841820 on 2005-06-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Timothy A Goedde's details last updated?

The information pertaining to the Timothy A Goedde, including its address, specialty, and other details, was most recently updated on 2023-11-27.

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