TIMOTHY A GOEDDE MD PC NPI 1073703260

NPI Information

  • NPI: 1073703260
  • Provider Name: TIMOTHY A GOEDDE MD PC
  • Classification: Surgery - 2086X0206X
  • Specialization: Surgical Oncology
  • Entity Type: Organization
  • Address: 7430 N SHADELAND AVE
    SUITE 230
    INDIANAPOLIS, IN
    ZIP 46250
  • Phone: (317) 288-2456

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NPI Details

TIMOTHY A GOEDDE MD PC is a surgical oncology surgery in Indianapolis, IN. The provider is 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. TIMOTHY A GOEDDE MD PC NPI is 1073703260. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7430 N SHADELAND AVE
SUITE 230
INDIANAPOLIS, IN
ZIP 46250-036
Phone: (317) 288-2456
Fax: (317) 288-2461

The provider's authorized official is Timothy A Goedde .
The authorized official title is Owner and has the following contact phone number (317) 288-2456.

The enumeration date for this NPI number is 7/25/2007 and was last updated on 3/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086X0206XSurgerySurgical OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200870480AMEDICAIDINDIANA
2252240MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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