William D Goudy in Fort Wayne - General Practice
William D Goudy - NPI 1568462935
William D Goudy is a General Practice in Fort Wayne, Indiana. William D Goudy practices all healthcare services and medical treatments related to General Practice. The NPI Number for William D Goudy is 1568462935. The last update date is 2023-01-06.
William D Goudy's current location address is 1900 Carew St Ste 6, Fort Wayne, Indiana. You can contact this provider via phone number 2602662500. The mailing address for William D Goudy is 1900 Carew St Ste 6, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William D Goudy |
|---|---|
| Address | 1900 Carew St Ste 6, Fort Wayne, Indiana |
| Phone Number | 2602662500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1568462935 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2023-01-06 |
Provider Mailing Address Detail
| Address | 1900 Carew St Ste 6 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468054765 |
| Phone Number | 2602662500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 02000673A |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100103820A | IN | -- | |
| P00144540 | IN | MEDICARE RAILROAD | |
| 335961 | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to William D Goudy by the Centers for Medicare & Medicaid Services?
The William D Goudy has been assigned the NPI (National Provider Identifier) 1568462935 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where William D Goudy is physically located?
The William D Goudy is physically situated at the following address: 1900 Carew St Ste 6, Fort Wayne, IN, 468054765.
What is William D Goudy's area of expertise and its corresponding taxonomy classification?
The William D Goudy's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the William D Goudy receive its 1568462935 assignment from the Centers for Medicare & Medicaid Services?
The William D Goudy was assigned its 1568462935 by the Centers for Medicare & Medicaid Services on 2005-07-28.
When was the William D Goudy's information last updated?
The William D Goudy's information was last updated on 2023-01-06.