National Provider Identifier Database

TIMOTHY A GOEDDE MD PC
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 PC
7430 N SHADELAND AVE
SUITE 230
INDIANAPOLIS, IN46250-2036
Phone: 317-288-2456
Fax: 317-288-2461
Website:
Specialty Taxonomy Code
* Surgical Oncology 2086X0206X

* Indicates primary specialty

NPI Profile & details for TIMOTHY A GOEDDE MD PC

NPI Number 1073703260
Legal business name
LBN
TIMOTHY A GOEDDE MD PC
Authorized official TIMOTHY GOEDDE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/25/2007
Last updated 03/19/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 200870480A

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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