Hey, Find It
Hey, Find It

BRYAN MICHEAL GOETZ , NPI 1629369061

Physician Assistant in SAINT LOUIS, MI

Last Updated on : Mar 28,2013

BRYAN MICHEAL GOETZ , NPI 1629369061

About BRYAN MICHEAL GOETZ (NPI 1629369061)


BRYAN MICHEAL GOETZ is a Physician Assistant provider in SAINT LOUIS, United States. His medical specialization is Physician Assistant .

1629369061 is NPI number of BRYAN MICHEAL GOETZ.

BRYAN MICHEAL GOETZ's primary taxonomy code based on NPI Lookup is 363A00000X with license number 5601006008. This taxonomy code refers to Physician Assistant.

BRYAN MICHEAL GOETZ has more than 11 years of experience.

BRYAN MICHEAL GOETZ current practice location address is 11716 N JEROME RD, SAINT LOUIS, MI. BRYAN MICHEAL GOETZ can be reached out via phone at 989-560-2662 .

You can also correspond with BRYAN MICHEAL GOETZ through mail at mailing address 1500 E SHERMAN BLVD, MUSKEGON, MI, United States. Mailing address contact number is 231-739-9341.

The enumeration date of BRYAN MICHEAL GOETZ is 19-Apr-2011. The provider is registered as an Individual and the NPI record was last updated 10 years ago.

1629369061 NPI Information

Basic NPI information of BRYAN MICHEAL GOETZ (NPI 1629369061) is provided below.

Name BRYAN MICHEAL GOETZ
National Provider Id (NPI) 1629369061
Entity Type Individual
Gender M
Credential
Practice Address 11716 N JEROME RD,
SAINT LOUIS, MI, United States
Practice Telephone 989-560-2662
Practice Fax Number
Mailing Address 1500 E SHERMAN BLVD ,
MUSKEGON, MI, United States
Mailing Telephone 231-739-9341
Mailing Fax Number
Enumeration Date 19-Apr-2011
Last Updated Date 28-Mar-2013

BRYAN MICHEAL GOETZ (NPI 1629369061) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 363A00000X Physician Assistant 5601006008 MI

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

BRYAN MICHEAL GOETZ (NPI 1629369061) Office Location

Office location of BRYAN MICHEAL GOETZ is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1346356672 NEPHROLOGY CONCEPTS LLC Internal Medicine, Nephrology PO BOX 12441,
SAINT LOUIS, MD, United States
21-Aug-2006
1881015196 JANET LYNN FERGUSON Nursing Care 580 E HOFFMAN RD,
SAINT LOUIS, MI, United States
04-Jan-2014
1134692270 RIVERSIDE HEALTHCARE CENTER LLC Skilled Nursing Facility 1149 W MONROE RD,
SAINT LOUIS, MI, United States
10-Jan-2019
1437420999 THOMAS ALLEN JONES Physical Therapy Assistant 228 ROCKINGHAM AVE,
ALMA, MI, United States
15-Jan-2012
1497050454 ASPIRE RX LLC Pharmacy, Community/Retail Pharmacy 116 N MILL ST,
SAINT LOUIS, MI, United States
21-Jan-2011
1245386101 TIMOTHY DAVID STUDT Chiropractor 1883 W MONROE RD,
SAINT LOUIS, MI, United States
25-Jan-2007
1730645052 JUDY L CROCKETT Counselor, Professional PO BOX 75,
SAINT LOUIS, MI, United States
11-Feb-2019
1194793364 WILLIAM THOMAS WEAVER Rehabilitation Practitioner 200 W ESSEX DR,
SAINT LOUIS, MI, United States
14-Mar-2006
1205968732 NABEEL ALI MOHAMED Internal Medicine 760 RIVERWALK CIR APT 6B,
CORUNNA, MI, United States
11-Mar-2007
1992047963 MELISSA CAROL CHATELAIN Speech-Language Pathologist, 11025 E PICKARD RD,
MT PLEASANT, MI, United States
18-Mar-2013
1821118928 AARON ARNOLD MUNDERLOH Physical Therapist 129 DAVIS ST,
SAINT LOUIS, MI, United States
30-Mar-2007
1366905440 RACHAEL OTTO Registered Nurse 118 EUCLID ST,
SAINT LOUIS, MI, United States
07-Apr-2019
1629369061 BRYAN MICHEAL GOETZ Physician Assistant 11716 N JEROME RD,
SAINT LOUIS, MI, United States
19-Apr-2011
1124293931 JOHN BONTRAGER Chiropractor, Nutrition 124 N MILL ST, SUITE A
SAINT LOUIS, MI, United States
23-Apr-2008
1336674225 CHERYL LAHTI Physical Therapy Assistant 427 E WASHINGTON ST,
SAINT LOUIS, MI, United States
27-Apr-2017
1083102651 KRISTA MARIE HAGARTY Occupational Therapist 315 FIELDSTONE DR,
HEMLOCK, MI, United States
28-Apr-2018
1710475397 KENNETH WALL Physical Therapist 8353 APPLE BLOSSOM LN,
FLUSHING, MI, United States
29-Apr-2018
1487142915 CAROLINE LEE LECUREUX Occupational Therapist 427 E WASHINGTON ST,
SAINT LOUIS, MI, United States
30-Apr-2018
1962847079 CHRISTIAN HOME CARE SERVICES Health Maintenance Organization 1132 CHEESMAN,
SAINT LOUIS, MI, United States
02-May-2013
1134618515 SETH HUBBARD Physical Therapist 9653 MONROE RD,
ELWELL, MI, United States
01-May-2018

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1629369061?

1629369061 is the NPI number of BRYAN MICHEAL GOETZ.

What is the specialty for BRYAN MICHEAL GOETZ?

The Specialty of BRYAN MICHEAL GOETZ is Physician Assistant.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Source : The information found on this website is provided "AS IS". It is in accordance with the NPPES Data Dissemination Notice, Freedom of Information Act (FOIA), and e-FOIA amendments. Kindly note that we do not guarantee the accuracy and/or reliability of the contents found on the website.