Mark J Goedken (NPI# 1386630663, PAC ID# 2961420054) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1386630663 |
| PAC ID by PECOS | 2961420054 |
| Professional Enrollment ID | I20100915000296 |
| Full Name | Mark J Goedken |
| Address |
811 5th Ave Se Cedar Rapids IA 52403-2421 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161349 | VIRGINIA GAY HOSPITAL |
| 160079 | MERCY MEDICAL CENTER - CEDAR RAPIDS |
| 160045 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 811 5th Ave Se, Cedar Rapids, IA 52403-2421 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
811 5TH AVE SE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip | 52403-2421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Winthrop S Risk Ii | Neurology | 811 5th Ave Se, Cedar Rapids, IA 52403-2421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin J Murray | Radiation Oncology | Radiation Oncology of Cedar Rapids PC | 603 10th St Se, Cedar Rapids, IA 52403-1208 |
| David R Neira | Physical Therapy | Mercy Medical Center | 701 10th St Se J Edward Lundy Pavillion 4th Fl, Mercy Pediatric Clinic, Cedar Rapids, IA 52403-1251 |
| Jessica L Hamill Schindler | Emergency Medicine | Linn County Emergency Medicine PC | 701 10th St Se, Cedar Rapids, IA 52403-1251 |
| David Seeger Tearse | Orthopedic Surgery | 701 10th Se St, Cedar Rapids, IA 52403-1251 | |
| Michael Z Gebeyehu | Hospitalist | Cogent Healthcare of Iowa, PC | 701 10th St Se, Cedar Rapids, IA 52403-1251 |
| Stacy M Pohlman | Nurse Practitioner | Mercy Medical Center | 701 10th St Se, Mercy Family Counseling, Cedar Rapids, IA 52403-1251 |
| Shane A Gailushas | Otolaryngology | Mercy Medical Center | 701 10th St Se J Edward Lundy Pavillion 4th Fl, Mercy Pediatric Clinic, Cedar Rapids, IA 52403-1251 |
| Sujan K Vadarevu | Hospitalist | Cogent Healthcare of Iowa, PC | 701 10th St Se, Cedar Rapids, IA 52403-1251 |
| Randi R Dinkelman | Qualified Speech Language Pathologist | Mercy Medical Center | 701 10th St Se J Edward Lundy Pavillion 4th Fl, Mercy Pediatric Clinic, Cedar Rapids, IA 52403-1251 |
| Maureen A Mcdonagh | Nurse Practitioner | Mercy Medical Center | 701 10th St Se J Edward Lundy Pavillion 4th Fl, Mercy Pediatric Clinic, Cedar Rapids, IA 52403-1251 |
| Find all physicians in zip 52403 | |||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | CEDAR RAPIDS + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Mark J Goedken.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.