JAN GOEDEKE (NPI# 1073950952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073950952 |
| Entity Type | Individual |
| Full Name | JAN GOEDEKE |
| Credential | MD |
| Practice Address |
1 Childrens Hospital Dr 4401 Penn Avenue Pittsburgh PA 15224-1529 |
| Mailing Address |
200 Lothrop St Forbes Tower Ste 9055 Pittsburgh PA 15213-2536 |
| Practice Telephone | 4126927291 |
| Mailing Telephone | 4126473087 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
LT000725 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1 CHILDRENS HOSPITAL DR 4401 PENN AVENUE |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15224-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629067186 | Juan C Celedon | Internal Medicine | 1 Childrens Hospital Dr, 4401 Penn Avenue, Pittsburgh, PA 15224-1529 | 2005-10-18 |
| 1659980886 | Dana Lyn Yurchak | Nurse Practitioner | 1 Childrens Hospital Dr, Pittsburgh, PA 15224-1529 | 2020-07-23 |
| 1992238117 | Angela Paridon | Physician Assistant | 1 Childrens Hospital Dr, Pittsburgh, PA 15224-1529 | 2017-04-05 |
| 1669917779 | Lea Wehrli | General Acute Care Hospital | 1 Childrens Hospital Dr, 4401 Penn Ave, Faculty Pavillon, Suite 7000, Pittsburgh, PA 15224-1529 | 2016-12-28 |
| 1851785836 | Katelyn Snyder | Student in an Organized Health Care Education/Training Program | 1 Childrens Hospital Dr, Pittsburgh, PA 15224-1529 | 2015-03-26 |
| 1043648058 | Nadia Diclemente | Physician Assistant | 1 Childrens Hospital Dr, 4401 Penn Avenue, Pittsburgh, PA 15224-1529 | 2013-10-30 |
| 1841533098 | Yvonne A Shedlock | Nurse Anesthetist, Certified Registered | 1 Childrens Hospital Dr, 4401 Penn Avenue, Pittsburgh, PA 15224-1529 | 2013-04-05 |
| 1174896971 | Erica Cordell | Nurse Practitioner | 1 Childrens Hospital Dr, 4401 Penn Avenue, Pittsburgh, PA 15224-1529 | 2012-02-10 |
| 1699051920 | Children's Hospital of Pittsburgh of Upmc | General Acute Care Hospital | 1 Childrens Hospital Dr, Pittsburgh, PA 15224-1529 | 2011-11-01 |
| 1053696252 | Jonelle Lee Chir | Physician Assistant | 1 Childrens Hospital Dr, Pittsburgh, PA 15224-1529 | 2011-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618289 | Jessica Reyes Angel | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2018-11-21 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
| 1245745785 | Ericka Blake Lias | Pediatrics | Children's Hospital of Pittsburgh of Upmc, 4401 Penn Ave, Pittsburgh, PA 15224 | 2017-12-06 |
| 1316463904 | Olivia Graham | Speech-Language Pathologist | 4414 Woolslayer Way, Pittsburgh, PA 15224 | 2017-08-16 |
| 1821525437 | Megan Eileen Gunsaulus | Pediatrics | Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 | 2017-05-12 |
| 1336593771 | Matthew Shao-lin Wong | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 | 2016-04-22 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1518348705 | Montserrat Antonieta Corbera-hincapie | Pediatrics | Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 | 2015-06-12 |
| 1497136782 | Christopher Thomas Stem | Pediatrics | Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 | 2015-06-12 |
| Find all providers in zip 15224 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013358084 | Kamthorn Sukarochana | Surgery | 9100 Babcock Blvd., Passavant Hosptial, Pittsburgh, PA 15237 | 2013-07-08 |
| 1760661292 | John C Adkins | Surgery | 10 Holland Rd, Pittsburgh, PA 15235-5043 | 2007-11-01 |
| 1912999848 | Kelly Miller Austin | Surgery | One Children's Hospital Drive, 4401 Penn Avenue, Children's Hospital of Pittsburgh of Upmc, Pittsburgh, PA 15224 | 2005-08-17 |
| 1235527987 | Maneesha Ushakumari Raghavan | Surgery | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | 2015-01-05 |
| 1851718456 | Ahmad Oudeh | Surgery | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | 2014-03-21 |
| 1659664753 | Alejandro F Sanz | Surgery | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2011-05-23 |
| 1972715654 | Michael J. Morowitz | Surgery | 1 Childrens Hospital Dr, 4401 Penn Ave Fp-7142, Pittsburgh, PA 15224-1334 | 2007-05-04 |
| 1306804729 | University of Pittsburgh Physicians | Surgery | 200 Lothrop St, Suite C700, Pittsburgh, PA 15213-2546 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972147239 | Children's Surgery Center of Philadelphia LLC | Surgery | 2301 E Allegheny Ave Ste 301m, Philadelphia, PA 19134-4427 | 2019-10-30 |
| 1336390434 | Laurence Alan Somers | Surgery | 10 Andorra Hill Rd, Lafayette Hill, PA 19444-1705 | 2008-10-07 |
| 1548332968 | Lehigh Valley Physician Group | Surgery | 1210 S Cedar Crest Blvd Ste 1100, Allentown, PA 18103-6241 | 2006-11-14 |
| 1770535551 | Pinnacle Health Medical Services | Surgery | 3 Walnut St Ste 205, Lemoyne, PA 17043-1168 | 2006-05-17 |
| 1457309080 | Marshall Z Schwartz | Surgery | Erie Ave At Front Street, Philadelphia, PA 19134-1095 | 2006-05-05 |
| 1952389082 | Christopher Coppola | Surgery | Geisinger Medical Ctr, 100 N. Academy Av. Mc 21-70, Danville, PA 17822-2170 | 2006-01-09 |
| 1174528533 | Domingo T Alvear | Surgery | 3 Walnut St, Lemoyne, PA 17043-1168 | 2005-06-14 |
| 1376161562 | Janine Andrea Vonlanthen | Surgery | 3401 Civic Center Blvd, Devision of General Surgery, Philadelphia, PA 19104 | 2020-07-14 |
| 1093353906 | Stc Pediatrics LLC | Surgery | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-11 |
| 1235773458 | Stc Pediatrics LLC | Surgery | 1200 Old York Rd, Abington, PA 19001-3720 | 2019-10-31 |
| Find all providers with the same taxonomy | ||||
| City | PITTSBURGH |
| Zip Code | 15224 |
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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.