TIMOTHY A GOEDDE MD PC (NPI# 1073703260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073703260 |
| Entity Type | Organization |
| Organization Name | TIMOTHY A GOEDDE MD PC |
| Practice Address |
7430 N Shadeland Ave Suite 230 Indianapolis IN 46250-2036 |
| Practice Telephone | 3172882456 |
| Practice Fax Number | 3172882461 |
| Mailing Telephone | 3172882456 |
| Mailing Fax Number | 3172882461 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2013-03-19 |
| Authorized Official Name | TIMOTHY A GOEDDE (OWNER) |
| Authorized Official Telephone | 3172882456 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200870480A | 05 |
| Street Address |
7430 N SHADELAND AVE SUITE 230 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841820 | Timothy A Goedde | Surgery | 7430 N Shadeland Ave, Suite 230, Indianapolis, IN 46250-2036 | 2005-06-21 |
| 1700247947 | Klarity Medical Laboratory | Pathology | 7430 N Shadeland Ave, Suite 150, Indianapolis, IN 46250-2070 | 2016-03-16 |
| 1477899904 | Scp Anesthesia LLC | Nurse Anesthetist, Certified Registered | 7430 N Shadeland Ave, Ste 100, Indianapolis, IN 46250-2070 | 2013-01-03 |
| 1790912301 | Community Hospitals of Indiana Inc | Internal Medicine | 7430 N Shadeland Ave, Suite 230, Indianapolis, IN 46250-2036 | 2009-06-22 |
| 1396992921 | Surgery Center Plus, Inc | Surgery | 7430 N Shadeland Ave, Suite 100, Indianapolis, IN 46250-2036 | 2008-08-26 |
| 1174658280 | Indiana Podiatry Group Inc | Podiatrist | 7430 N Shadeland Ave, Suite 290, Indianapolis, IN 46250-2070 | 2007-02-22 |
| 1134267628 | Primary Care Partners LLC | Family Medicine | 7430 N Shadeland Ave, Suite 150, Indianapolis, IN 46250-2098 | 2007-02-05 |
| 1861562100 | Arun Gowdamarajan | Surgery | 7430 N Shadeland Ave, #200, Indianapolis, IN 46250 | 2006-11-08 |
| 1720157860 | Surgery Center Plus Inc | Clinic/Center | 7430 N Shadeland Ave, Suite 100, Indianapolis, IN 46250-2036 | 2006-11-06 |
| 1033222633 | Colon & Rectal Care Inc | Colon & Rectal Surgery | 7430 N Shadeland Ave, Colon & Rectal Care Suite 200, Indianapolis, IN 46250 | 2006-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| 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 or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366544868 | Rhys Thomas Schmidt IIi | Surgery | 8240 Naab Rd Ste 320, Indianapolis, IN 46260-1987 | 2006-09-04 |
| 1861625709 | St. Francis Hospital and Health Centers | Surgery | 5255 E Stop 11 Rd, Suite 250, Indianapolis, IN 46237-6340 | 2009-08-26 |
| 1437399987 | Jeremy Lee Davis | Surgery | 545 Barnhill Dr, Eh 202, Indianapolis, IN 46202-5112 | 2009-02-24 |
| 1528232451 | Michael G House | Surgery | 550 N University Blvd., Suite 1295, Indianapolis, IN 46202-5149 | 2008-04-22 |
| 1477505071 | Mary A Maluccio | Surgery | 550 University Blvd, Uh4601, Indianapolis, IN 46202-5149 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295005395 | Neal Agee | Surgery | 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804-4159 | 2012-01-05 |
| 1871892208 | Fiona Noelle Denham | Surgery | 200 High Park Ave, Goshen, IN 46526-4810 | 2011-03-24 |
| 1902063282 | Jack W Rostas IIi | Surgery | 1314 E Walnut St, Washington, IN 47501-2860 | 2008-05-22 |
| 1992704449 | Leonard R Henry | Surgery | 200 High Park Ave, Goshen, IN 46526-4810 | 2005-07-18 |
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on TIMOTHY A GOEDDE MD PC.
| 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.