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Contact Information

TIMOTHY A GOEDDE, MD
7501 PINE ROYAL DR
INDIANAPOLIS, IN46256-3264
 Phone: 317-201-1190
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

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

NPI # 1306841820
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2005
Last updated 01/02/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 01039996A
  • IN Medicaid 100441710
  • IN Other 4258887 AETNA
  • IN Other 000000775120 ANTHEM
  • IN Other P01347706 MEDICARE RR PTAN
Hospital affiliation(s)
  • COMMUNITY HOSPITAL NORTH - (Acute Care)
    7150 CLEARVISTA DR
    INDIANAPOLIS, IN 46256
  • HANCOCK REGIONAL HOSPITAL - (Acute Care)
    801 N STATE ST
    GREENFIELD, IN 46140
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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