Timothy A Goedde Md Pc

LBN: Timothy A Goedde Md Pc
Timothy A Goedde Md Pc is an health care organization with primary practice located at 7430 N Shadeland Ave Suite 230, Indianapolis IN 46250-2036. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as the primary health care specialty. Timothy A Goedde Md Pc can be contacted via phone (317) 288-2456, or through Goedde, Timothy A via phone (317) 288-2456.

Contact Information

Primary practice address
7430 N Shadeland Ave Suite 230 Indianapolis IN 46250-2036
Phone: (317) 288-2456
Fax: (317) 288-2461
Website:
Map and Directions
Authorized official contact:
Name: Goedde, Timothy A Doctor of Medicine (MD)
Phone: (317) 288-2456

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X

Profile Details

NPI number 1073703260
LBN Legal business name Timothy A Goedde Md Pc
DBA Doing business as
Authorized official Goedde, Timothy A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2007
Last updated Mar 19th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073703260 NPPES
Indiana MEDICAID 200870480A

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