MR. ANDREW GOEBEL


Address: 1800 Truemper St, San Antonio, TX 78236-5510
Phone: 7604812076

MR. ANDREW GOEBEL (NPI# 1861099939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861099939
Entity Type Individual
Full Name MR. ANDREW GOEBEL
Credential IDMT
Practice Address 1800 Truemper St
San Antonio
TX 78236-5510
Mailing Address 9835 Spruce Ridge Dr
Converse
TX 78109-2731
Practice Telephone 7604812076
Mailing Telephone 7604102076
Enumeration Date 2020-10-02
Last Update Date 2020-10-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

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1609320209 Andrew Stanley Goebel Psychologist 1095 Midway Rd, Menasha, WI 54952-1115 2016-08-11

Office Location

Street Address 1800 TRUEMPER ST
City SAN ANTONIO
State TX
Zip Code 78236-5510

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063047363 Arnoldo Arturo Gonzalez Jr. Specialist/Technologist 1033 Truemper St, Lackland Afb, TX 78236 2020-03-06
1023643343 Meredith Grace Cockerell Specialist/Technologist W Military Drive, San Antonio, TX 78236 2020-03-06
1578120598 Hali Rashelle Hall Dentist 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 2019-05-24
1952967077 Paul Fianza Boseman Nurse Practitioner 1106 Wilford Hall Loop, San Antonio, TX 78236 2019-05-14
1689161978 Kelly Jones Buckshire Dentist Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 2018-04-23
1902308570 Roger Louis Farney Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 2018-02-28
1568916856 Thomas Maxwell Woolf Dentist 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 2016-08-04
1831544956 Michael Veronneau Student in an Organized Health Care Education/Training Program 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 2016-04-26
1376906958 David Kephart Jr. General Practice 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 2016-04-01
1184084089 Olivia Arballo Dermatology Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 2016-03-04
Find all providers in zip 78236

Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407453145 Ian Frogley Military Health Care Provider Jbsa 2230 Hughes Ave, San Antonio, TX 78236-8404 2020-10-06
1376169086 Colton Wayne Dickens Military Health Care Provider 5415 N Foster Rd Apt 8306, San Antonio, TX 78244-2405 2020-06-18
1588135719 Alejandro Daniel Perez Military Health Care Provider Wilderness Trl & Camp Bullis, San Antonio, TX 78257 2018-12-16
1861969271 Jose A Sanchez Military Health Care Provider 15425 Bobwhite Quail, San Antonio, TX 78253-6621 2018-10-24
1205303617 Sean Patrick Kearns Military Health Care Provider 1980 Horal St Apt 1218, San Antonio, TX 78227-3939 2018-10-24
1730663477 Glen Snyder Military Health Care Provider 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 2018-09-19
1265919336 Ashley Elizabeth Malawey Military Health Care Provider 3222 Cpl Johnson Road, San Antonio, TX 78234 2018-07-23
1083191159 Chance Daren Riley Military Health Care Provider 8838 Dugas Dr Apt 2202, San Antonio, TX 78251-4518 2018-07-23
1235622333 Melanie Edith Rivera Military Health Care Provider 3600 Roger Brooke Drive, San Antonio, TX 78234 2018-06-13
1871086009 Jhosselin Pamella Alonzo Military Health Care Provider 8655 Datapoint Dr Apt 509, San Antonio, TX 78229-3263 2018-06-12
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78236

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Dataset Information

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.

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