John P Goeddertz in Boise - Nurse Anesthetist, Certified Registered
John P Goeddertz - NPI 1659424125
John P Goeddertz is a Nurse Anesthetist, Certified Registered in Boise, Idaho. John P Goeddertz practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for John P Goeddertz is 1659424125. The last update date is 2023-10-09.
John P Goeddertz's current location address is 1055 N Curtis Rd, Boise, Idaho. You can contact this provider via phone number 2083672163. The mailing address for John P Goeddertz is 1055 N Curtis Rd, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John P Goeddertz |
|---|---|
| Address | 1055 N Curtis Rd, Boise, Idaho |
| Phone Number | 2083672163 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1659424125 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2023-10-09 |
Provider Mailing Address Detail
| Address | 1055 N Curtis Rd |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837061309 |
| Phone Number | 2083672163 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R26650 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12462 | ND | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John P Goeddertz by the Centers for Medicare & Medicaid Services?
The John P Goeddertz has been assigned the NPI (National Provider Identifier) 1659424125 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where John P Goeddertz's facilities are geographically located?
The facilities of John P Goeddertz are physically situated at the following location: 1055 N Curtis Rd, Boise, ID, 837061309.
What is John P Goeddertz's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John P Goeddertz is Nurse Anesthetist, Certified Registered, and the taxonomy classification code that categorizes this area of expertise is 367500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1659424125 to John P Goeddertz?
The John P Goeddertz received its 1659424125 assignment from the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date were the details pertaining to John P Goeddertz last refreshed?
The information related to the John P Goeddertz, including its address, specialty, and other relevant details, was last updated on 2023-10-09.