DR. MARK JAMES GOETHE (NPI# 1073535829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073535829 |
| Entity Type | Individual |
| Full Name | DR. MARK JAMES GOETHE |
| Credential | MD |
| Practice Address |
4401 Campus Ridge Dr Midland MI 48640-6112 |
| Mailing Address |
4401 Campus Ridge Dr Midland MI 48640 |
| Practice Telephone | 9898320323 |
| Practice Fax Number | 9896310886 |
| Mailing Telephone | 9898320323 |
| Mailing Fax Number | 9896310886 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2017-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 4301405876 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCN | P72856 | 01 |
| MI | BCBS | 2005601332 | 01 |
| MI | 2971771 | 05 |
| Street Address |
4401 CAMPUS RIDGE DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-6112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225542152 | Andrew Gardner-northrop | Social Worker | 4401 Campus Ridge Dr, Midland, MI 48640-6112 | 2017-11-30 |
| 1386153500 | Whitney Rae Maxwell | Physician Assistant | 4401 Campus Ridge Dr, Midland, MI 48640 | 2017-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194131474 | David Kevin Lyons Jr. | Orthopaedic Surgery | 555 W Wackerly St Ste 2600, Midland, MI 48640-4710 | 2014-07-07 |
| 1184882771 | Gregory A Daut | Orthopaedic Surgery | 4401 Campus Ridge Dr Ste 2200, Midland, MI 48640 | 2008-05-30 |
| 1821261876 | Reddy Orthopaedic Association Pa | Orthopaedic Surgery | 3310 W Wadley Ave, Midland, TX 79707-5700 | 2008-04-10 |
| 1952572745 | Charles M Younger Md | Orthopaedic Surgery | 2000 West Cuthbert Ave, Midland, TX 79701 | 2008-03-19 |
| 1396914883 | David J Mallams,m.d. | Orthopaedic Surgery | 2409 W Illinois Ave Ste C, Midland, TX 79701-6308 | 2008-02-28 |
| 1558444976 | Mark J Goethe Md PC | Orthopaedic Surgery | 7101 W Wackerly St, Midland, MI 48642 | 2006-10-21 |
| 1063468924 | Charles M Younger | Orthopaedic Surgery | 2000 W Cuthbert Ave, Midland, TX 79701-5729 | 2006-05-25 |
| 1043270085 | Franklin J Dzida | Orthopaedic Surgery | 5615 Deauville Blvd, Ste 220, Midland, TX 79706 | 2006-03-24 |
| 1851368906 | Paul Dennis Lifland | Orthopaedic Surgery | 400 Rosalind Refern Grover Parkway, Midland Memorial Hospital, Midland, TX 79701 | 2006-03-07 |
| 1992775514 | Rajasekhara K Reddy | Orthopaedic Surgery | 3310 W Wadley, Midland, TX 79707 | 2006-01-25 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.