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Contact Information

MICHAEL A GOEDDE, MD
120 KEAWE ST
HILO, HI96720-2874
 Phone: 808-437-8200
 Fax: 808-201-9892
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL A GOEDDE · (Male)

NPI Number 1285969659
Status Active
Credentials MD
Entity Individual
Enumeration date 10/02/2009
Last updated 09/19/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • HI License # 61-20399
  • HI License # MD-21638
  • VT License # 042-0012732
Hospital affiliation(s)
  • FLETCHER ALLEN HOSPITAL OF VERMONT - (Acute Care)
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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