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MR. MARC JAMES GOEDERS PA NPI 1639130057


NPI Information

NPI: 1639130057
Provider Name: MR. MARC JAMES GOEDERS, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: MERCY MEDICAL CENTER-NEWTON

PECOS Registration: Yes

Address:
450 LAUREL ST
STE A
DES MOINES, IA
ZIP 50314
Phone: (515) 247-8400
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MR. Marc James Goeders, PA is a surgical physician assistant in Des Moines, IA with 24 years of experience. MR. Marc James Goeders, PA NPI is 1639130057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

450 LAUREL ST
STE A
DES MOINES, IA
ZIP 50314-045
Phone: (515) 247-8400
Fax: (515) 248-8888

The NPI 1639130057 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Repair of knee joint (HCPCS:27447)

The enumeration date for this NPI number is 3/28/2006 and was last updated on 12/30/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical001294IOWAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P78887MEDICARE UPIN
2I10724MEDICARE ID-TYPE UNSPECIFIED

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.