National Provider Identifier Database

TIMOTHY A GOEDDE, MD – NPI #1306841820
Surgical Oncology

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.


Contact Information

TIMOTHY A GOEDDE, MD
7501 PINE ROYAL DR
INDIANAPOLIS, IN46256-3264
Phone: 317-201-1190
Fax:
Website:
Specialty Taxonomy Code
* Surgical Oncology 2086X0206X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for TIMOTHY A GOEDDE

NPI Number 1306841820
Credentials MD
Entity Individual
Enumeration date 06/21/2005
Last updated 01/02/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • IN License #: 01039996A
  • IN Medicaid: 100441710
  • IN Other: 4258887 AETNA
  • IN Other: 000000775120 ANTHEM
  • IN Other: P01347706 MEDICARE RR PTAN
Hospital affiliation n/a

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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