Dustin Dominic Goetz (NPI# 1598177891, PAC ID# 3274750567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1598177891 |
| PAC ID by PECOS | 3274750567 |
| Professional Enrollment ID | I20190620000696 |
| Full Name | Dustin Dominic Goetz |
| Organization Legal Name | CENTER FOR PAIN MEDICINE PA |
| Address |
2401 41st St S Suite 101 Fargo ND 58104-7783 |
| Phone Number | 7015516980 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 7012131501 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 2401 41st St S, Suite 101, Fargo, ND 58104-7783 | 7015516980 | CENTER FOR PAIN MEDICINE PA |
| Organization Legal Name | CENTER FOR PAIN MEDICINE PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Majid Ghazi | Pain Management | Center for Pain Medicine Pa | 2401 41st St S, Suite 101, Fargo, ND 58104-7783 |
| Street Address |
2401 41ST ST S SUITE 101 |
| City | FARGO |
| State | ND |
| Zip | 58104-7783 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Majid Ghazi | Pain Management | Center for Pain Medicine Pa | 2401 41st St S, Suite 101, Fargo, ND 58104-7783 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Parth A Vyas | Orthopedic Surgery | Sanford Medical Center Fargo | 2301 25th St S, Fargo, ND 58104 |
| Breana B Ritchie | Nurse Practitioner | Sanford Medical Center Fargo | 2301 25th St S, Fargo, ND 58104 |
| Glenda G Trochmann | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 201 S University Dr, Fargo, ND 58104-1775 |
| Su Ann Ng | Diagnostic Radiology | Medical Imaging of Lehigh Valley PC | 4222 Clubhouse Dr S, Fargo, ND 58104-3332 |
| Martha Slade Kearns | Diagnostic Radiology | Medical Imaging of Lehigh Valley PC | 4222 Clubhouse Dr S, Fargo, ND 58104-3332 |
| Crystal R Wring | Physical Therapy | Caring Edge Op LLC | 4420 37th Ave S, Fargo, ND 58104-3400 |
| Sarah Coplin | Physical Therapy | Caring Edge Op LLC | 4420 37th Ave S, Fargo, ND 58104-3400 |
| Marcus Anthony Sickler | Occupational Therapy | Caring Edge Op LLC | 4420 37th Ave S, Fargo, ND 58104-3400 |
| Mckayla M Artz | Physical Therapy | Horizon Therapy, Inc. | 4420 37th Ave S, Fargo, ND 58104-3400 |
| Alyssa J Shirek | Occupational Therapy | Horizon Therapy, Inc. | 4420 37th Ave S, Fargo, ND 58104-3400 |
| Find all physicians in zip 58104 | |||
| City | FARGO |
| Zip Code | 58104 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | FARGO + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Dustin Dominic Goetz.
| 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.