DR. LARRY W GOETZ (NPI# 1407100977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407100977 |
| Entity Type | Individual |
| Full Name | DR. LARRY W GOETZ |
| Credential | M.D. |
| Practice Address |
1607 E 33rd St Des Moines IA 50317-2705 |
| Mailing Address |
812 Polk Blvd Des Moines IA 50312-2223 |
| Practice Telephone | 5152667622 |
| Practice Fax Number | 5152669094 |
| Mailing Telephone | 5152741284 |
| Mailing Fax Number | 5152741284 |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 17186 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1607 E 33RD ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50317-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104018415 | John Anthony Nanson | General Practice | 1607 E 33rd St, Ellefson Free Clinic, Des Moines, IA 50317-2705 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518239128 | William Shane Lounsbery | Counselor | 2824 E 38th Street, Des Moines, IA 50317 | 2012-01-30 |
| 1710275904 | Jessica Lyn Deboom | Counselor | C/o Prairie Wellness, 3209 Ingersoll Ave Ste 100, Des Moines, IA 50317 | 2011-07-21 |
| 1871724161 | Tonya Norvell Diehn | Physician Assistant | 3509 E 29th Street, Des Moines, IA 50317 | 2009-08-04 |
| 1578688545 | Adam Fredrick Fuller | Dentist | 3223 E 29th Street, Des Moines, IA 50317 | 2007-03-20 |
| 1902938699 | C Fredrick Fuller | Dentist | 3223 E 29th St, Des Moines, IA 50317 | 2007-03-09 |
| 1164593596 | Darrin E Ausman | Occupational Therapist | 2918 East University Avenue, Des Moines, IA 50317 | 2006-11-09 |
| 1386715720 | Laura Anne Henry | Physical Therapist | 2918 East University Aveneue, Des Moines, IA 50317 | 2006-11-09 |
| 1295784494 | James A Blasco | Optometrist | 2566 Hubbell Ave, Des Moines, IA 50317 | 2006-05-08 |
| 1457327116 | Danice Franchelle Klimek | Internal Medicine | 2524 E 42nd St, Des Moines, IA 50317 | 2006-02-23 |
| 1881699486 | Hospice of Central Iowa | Hospice Care, Community Based | 3000 Easton Blvd, Des Moines, IA 50317 | 2005-06-20 |
| Find all providers in zip 50317 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851861587 | Clayton Health Systems, Inc | Family Medicine | 351 Francis Avenue, Des Moines, NM 88418 | 2018-11-26 |
| 1982043014 | Angela De Hamer | Family Medicine | 1111 6th Ave Fl 4, Des Moines, IA 50314-2610 | 2013-06-21 |
| 1174962500 | Paul Lyndon Nurmi | Family Medicine | 6601 Sw Ninth Street, Des Moines, IA 50315-6138 | 2013-06-19 |
| 1356780647 | Jenna L W Ridlen | Family Medicine | 1350 Des Moines Street, Suite 110, Des Moines, IA 50309-5507 | 2013-06-19 |
| 1639461007 | Gwen George Luepke | Family Medicine | 2725 Merle Hay Rd, Des Moines, IA 50310-1134 | 2011-05-04 |
| 1083926414 | Steven R Morris | Family Medicine | 840 E University Avenue, Des Moines, IA 50316-2304 | 2010-07-14 |
| 1922258474 | Dennis Lee Anderson | Family Medicine | 5221 Village Run Ave, Unit 1602, Des Moines, IA 50317-4979 | 2008-09-21 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1760681597 | Jose G Aguilar | Family Medicine | 1350 Des Moines St., Ste 110, Des Moines, IA 50309-5526 | 2007-07-12 |
| 1164646691 | Sara Esther Sutton | Family Medicine | 3219 Sw 39th St, Des Moines, IA 50321-1304 | 2007-04-13 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50317 |
Please comment or provide details below to improve the information on DR. LARRY W GOETZ.
| 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.