MR. JOHN JOSEPH GOEDERT III (NPI# 1295118446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295118446 |
| Entity Type | Individual |
| Full Name | MR. JOHN JOSEPH GOEDERT III |
| Credential | PA-C |
| Practice Address |
1200 Barrett Blvd Henderson KY 42420-4950 |
| Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
| Practice Telephone | 2708448600 |
| Practice Fax Number | 2708448610 |
| Mailing Telephone | 2706918070 |
| Mailing Fax Number | 2706918026 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2018-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TC699 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 10001845A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4000 S Tulip Tree Dr, Princeton, IN 476702300 | 8123872045 | 8123872045 |
| Street Address |
1200 BARRETT BLVD |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-4950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1730786450 | Nicole Marijean French | Nurse Practitioner | 1200 Barrett Blvd, Henderson, KY 42420-4950 | 2020-10-06 |
| 1619503836 | Emily C Floyd | Nurse Practitioner | 1200 Barrett Blvd, Henderson, KY 42420-4950 | 2020-03-19 |
| 1659915932 | Kara Dawn Henshaw | Nurse Practitioner | 1200 Barrett Blvd, Henderson, KY 42420-4950 | 2019-10-30 |
| 1649825860 | Nathan A Gish | Nurse Practitioner | 1200 Barrett Blvd, Henderson, KY 42420-4950 | 2019-08-05 |
| 1609374693 | Owensboro Health Medical Group, Inc. | Clinical Medical Laboratory | 1200 Barrett Blvd, Henderson, KY 42420-4950 | 2018-01-25 |
| 1609394840 | Owensboro Health Medical Group, Inc. | Nurse Practitioner | 1200 Barrett Blvd, Henderson, KY 42420-4950 | 2017-09-08 |
| 1104343714 | Jama R Patterson | Nurse Practitioner | 1200 Barrett Blvd, Henderson, KY 42420-4950 | 2017-08-24 |
| 1417335738 | Tracy A Powell | Pain Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2015-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| 1366609141 | Green River District Health Department | Public Health or Welfare | 1199 Madison Street, Henderson, KY 42420 | 2008-05-20 |
| Find all providers in zip 42420 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013537794 | Julia Alexa Ondarza | Physician Assistant | 10120 S Eastern Ave Ste 120, Henderson, NV 89052-3952 | 2020-04-22 |
| 1164060216 | Hugh Andrew David Cooper Rosett | Physician Assistant | 2114 Rhonda Ter, Henderson, NV 89074-0653 | 2019-12-18 |
| 1982241261 | Anna Liang | Physician Assistant | 2839 Saint Rose Pkwy Ste 100, Henderson, NV 89052-4849 | 2019-12-05 |
| 1194369710 | Brooke Lauren Cossaboom | Physician Assistant | 2185 Rio Rancho Pointe Pl, Henderson, NV 89002-8606 | 2019-11-06 |
| 1316407810 | Joseph William Rozmus IIi | Physician Assistant | 451 Ruin Creek Rd Ste 103, Henderson, NC 27536-5920 | 2019-03-21 |
| 1164996419 | Emily Taylor Relles | Physician Assistant | 71 Falcon Feather Way, Henderson, NV 89012-5835 | 2019-01-18 |
| 1528511516 | Clinton Matthew Emmons | Physician Assistant | 1095 Sheer Paradise Ln Unit 3, Henderson, NV 89002-1058 | 2016-07-26 |
| 1447616404 | Marcos Gomez | Physician Assistant | 121 Pettswood Dr, Henderson, NV 89002-3390 | 2016-01-06 |
| 1407244593 | Laura Schmitt | Physician Assistant | 2380 West Horizon Ridge Parkway, Suite 110, Henderson, NV 89052 | 2014-12-26 |
| 1740602275 | Tanner J Smith | Physician Assistant | 830 Carnegie St Apt 623, Henderson, NV 89052-5734 | 2014-01-17 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.