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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 Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TIMOTHY A GOEDDE MD PC

NPI Number 1073703260
LBN Legal business name TIMOTHY A GOEDDE MD PC
Authorized official TIMOTHY GOEDDE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2007
Last updated 03/19/2013 - About 13 years ago
Identifiers
IN Medicaid 200870480A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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