JOHN N GOETZ (NPI# 1871525014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871525014 |
| Entity Type | Individual |
| Full Name | JOHN N GOETZ |
| Credential | MD |
| Practice Address |
1777 W Grand Ave Port Washington WI 53074 |
| Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209 |
| Practice Telephone | 2622843456 |
| Practice Fax Number | 2622844543 |
| Mailing Telephone | 4143523100 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 24926 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30456800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669752986 | John Goetz | Counselor | 1251 N Broadway, Edmond, OK 73034-3616 | 2011-08-17 |
| 1013923085 | John M Goetz | Internal Medicine | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2006-07-31 |
| Street Address |
1777 W GRAND AVE |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356332464 | Dawn M Zak | Counselor | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2005-10-31 |
| 1548791585 | Cameron Blegen | Family Medicine | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2017-03-22 |
| 1932565868 | Aurora Health Care Ventures Inc. | Eyewear Supplier (Equipment, not the service) | 1777 W Grand Ave, Suite 103, Port Washington, WI 53074-2077 | 2016-01-07 |
| 1699130732 | Rhiannon Jauer | Psychologist | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2015-12-16 |
| 1669855656 | Anjuli Marie Tuscano | Physician Assistant | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2015-07-08 |
| 1417247313 | Heidi S Wheeler | Nurse Practitioner | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2011-04-12 |
| 1427246370 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2007-10-04 |
| 1730376617 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2007-09-25 |
| 1952508400 | Keith J Hacker | Physician Assistant | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2007-06-28 |
| 1558446971 | Advanced Healthcare, S.c. | Clinical Medical Laboratory | 1777 W Grand Ave, Port Washington, WI 53074-2077 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
| 1780062034 | Amanda Zitzer | Specialist/Technologist | 1037 S Spring Street, Apt 257, Port Washington, WI 53074 | 2015-05-07 |
| 1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
| 1235310921 | Susan Ann Dobberpuhl | Occupational Therapist | 306 N Sprint St, Port Washington, WI 53074 | 2007-11-21 |
| 1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
| 1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
| Find all providers in zip 53074 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225000938 | Sania Daliah Wilkins | Pediatrics | 937 Port Washington Blvd, Port Washington, NY 11050-2910 | 2006-02-06 |
| 1922282300 | Healthy Kids Pediatrics Pllc | Pediatrics | 211 Main St, Port Washington, NY 11050 | 2007-12-21 |
| 1205969573 | Dr.madeline Pugliese D.o. Pllc | Pediatrics | 211 Main St, Port Washington, NY 11050-3211 | 2007-03-14 |
| 1710921622 | Hilton Silver | Pediatrics | 6 Bernard St, Port Washington, NY 11050-2902 | 2006-06-15 |
| 1093776676 | Naomi Josephine Jackman | Pediatrics | 211 Main St, Port Washington, NY 11050-3211 | 2006-03-31 |
| 1538129895 | Madeline Melissa Pugliese | Pediatrics | 211 Main St, Port Washington, NY 11050-3211 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767977 | St Francs Pediatrics | Pediatrics | 3201 S 16th St Ste 100, Milwaukee, WI 53215-4579 | 2020-07-21 |
| 1780155275 | Children's Health System, Inc. | Pediatrics | 6809 122nd Avenue, Kenosha, WI 54342-7335 | 2018-12-10 |
| 1467972950 | Cameron Trammell Shamsi Kasmai | Pediatrics | 9000 W Wisconsin Ave # Ms 681, Milwaukee, WI 53226-4874 | 2017-06-26 |
| 1669903993 | Kristin Zorn | Pediatrics | 8701 W Watertown Plank Rd # Mfrc3018, Milwaukee, WI 53226-3548 | 2017-03-27 |
| 1487195822 | Jane A Rivas | Pediatrics | 9000 W Wisconsin Ave # C550, Milwaukee, WI 53226-4874 | 2017-03-18 |
| 1467996991 | Children's Medical Group | Pediatrics | N168w22730 Prairie View Lane, Jackson, WI 53037 | 2016-12-19 |
| 1366997496 | Ujuchukwu Chizurum Okpechi | Pediatrics | 2700 W 9th Ave Ste 211, Oshkosh, WI 54904-7865 | 2016-08-18 |
| 1396193454 | Helen Gerseny Waterman | Pediatrics | 123 E Mifflin St Apt 200, Madison, WI 53703-2810 | 2016-05-31 |
| 1972951127 | Hillary Herman | Pediatrics | 1506 S Oneida St Fl 5, Appleton, WI 54915-1305 | 2016-05-27 |
| 1811350416 | Brittney Allison Krueger | Pediatrics | 4855 S Moorland Rd Ste 150, New Berlin, WI 53151-7495 | 2016-03-31 |
| Find all providers with the same taxonomy | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
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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.