DR. MICHELLE LYNN GOEDKEN (NPI# 1609139138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609139138 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE LYNN GOEDKEN |
| Other Name | DR. MICHELLE LYNN DUFF |
| Credential | D.O |
| Practice Address |
20401 N 73rd St Suite 230 Scottsdale AZ 85255-4107 |
| Practice Telephone | 4805660446 |
| Practice Fax Number | 4805560447 |
| Mailing Telephone | 4805560446 |
| Mailing Fax Number | 4805560447 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2015-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 006346 | AZ | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
20401 N 73RD ST SUITE 230 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85255-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083615686 | Caryl S. Gorman | Specialist | 20401 N 73rd St, Suite 255, Scottsdale, AZ 85255-4107 | 2005-08-03 |
| 1063868057 | Jeanette Jumawan | Nurse Practitioner | 20401 N 73rd St, Suite 160, Scottsdale, AZ 85255-4107 | 2016-05-09 |
| 1629439005 | Greater Phoenix Orthopedics | Orthopaedic Surgery | 20401 N 73rd St, Suite 155, Scottsdale, AZ 85255-4107 | 2016-03-14 |
| 1265803605 | Arizona Institute for Sports Knees and Shoulders, LLC | Orthopaedic Surgery | 20401 N 73rd St, 160, Scottsdale, AZ 85255-4107 | 2015-10-12 |
| 1083024921 | Mitchell Ryan Manway | Dermatology | 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4107 | 2014-04-30 |
| 1952740573 | Elizabeth Stori Johnson | Specialist/Technologist | 20401 N 73rd St, Ste 255, Scottsdale, AZ 85255-4107 | 2013-06-17 |
| 1922382027 | Ross Uthe | Physician Assistant | 20401 N 73rd St, Suite # 255, Scottsdale, AZ 85255-4107 | 2011-10-06 |
| 1609150010 | Scottsdale Healthcare Corp | Family Medicine | 20401 N 73rd St, Suite 105, Scottsdale, AZ 85255-4107 | 2011-10-04 |
| 1851683742 | Jena Auerbach | Pathology | 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4107 | 2011-05-10 |
| 1215244496 | Christina Marie Snyder | Physician Assistant | 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4153 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| 1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
| 1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
| 1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
| 1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
| 1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
| 1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
| Find all providers in zip 85255 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010969 | Wyatt Brown | Student in an Organized Health Care Education/Training Program | 8739 E Via De Viva, Scottsdale, AZ 85258-4006 | 2020-07-06 |
| 1215565718 | Daniel Austin Huff | Student in an Organized Health Care Education/Training Program | 13400 E Shea Blvd Apt 1104, Scottsdale, AZ 85259-5452 | 2020-03-30 |
| 1568012573 | Julia Marino | Student in an Organized Health Care Education/Training Program | 6980 E Sahuaro Dr Apt 1059, Scottsdale, AZ 85254-5294 | 2019-09-12 |
| 1033766902 | Kathleen Callahan | Student in an Organized Health Care Education/Training Program | 6844 E Phelps Rd, Scottsdale, AZ 85254-1535 | 2019-08-24 |
| 1275180457 | Nicole M Safer | Student in an Organized Health Care Education/Training Program | 8225 E Rose Ln, Scottsdale, AZ 85250-5848 | 2019-08-21 |
| 1881191559 | Gavin Nixon | Student in an Organized Health Care Education/Training Program | 1301 N Scottsdale Rd Apt 1045, Scottsdale, AZ 85257-3457 | 2018-04-10 |
| 1659876308 | Muneeb Akbar Ilyas | Student in an Organized Health Care Education/Training Program | 1280 N 85th Pl, Scottsdale, AZ 85257-4181 | 2018-03-26 |
| 1245735190 | Hayley Jayne Golek | Student in an Organized Health Care Education/Training Program | 7301 E 2nd St Ste 201, Scottsdale, AZ 85251-5600 | 2018-03-23 |
| 1487186813 | Srishti Nayak | Student in an Organized Health Care Education/Training Program | 12089 E Gail Rd, Scottsdale, AZ 85259-4239 | 2017-04-03 |
| 1104358308 | Joshua Aaron Spiro | Student in an Organized Health Care Education/Training Program | 10012 E Calle De Las Brisas, Scottsdale, AZ 85255-3702 | 2017-03-28 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85255 |
Please comment or provide details below to improve the information on DR. MICHELLE LYNN GOEDKEN.
| 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.