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DR. MARK ANTHONY GOEDECKER MD NPI 1760417455


NPI Information

NPI: 1760417455
Provider Name: DR. MARK ANTHONY GOEDECKER, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2003 SPRINGWOOD RD
YORK, PA
ZIP 17403
Phone: (717) 851-2521
Get Directions

DR. Mark Anthony Goedecker, MD is a family medicine in York, PA with 27 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mark Anthony Goedecker, MD NPI is 1760417455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1997

The provider's business location address is:

2003 SPRINGWOOD RD
YORK, PA
ZIP 17403-836
Phone: (717) 851-2521
Fax: (717) 260-3330

The NPI 1760417455 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 enumeration date for this NPI number is 7/11/2006 and was last updated on 5/3/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD422476PENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11544358OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
250021846OTHERPENNSYLVANIACAPITAL BLUE CROSS-YH
3621643OTHERMARYLANDCAREFIRST MD BCBS
4P004655OTHERPENNSYLVANIAGATEWAY-YH
5100449OTHERPENNSYLVANIAGEISINGER
67288130OTHERPENNSYLVANIAAETNA
7P00329337OTHERPENNSYLVANIARAILROAD MEDICARE
8146446OTHERPENNSYLVANIAUNISON-YH PCP
920027894OTHERPENNSYLVANIAAMERIHEALTH MERCY-YH
10106215OTHERPENNSYLVANIAJOHNS HOPKINS
11100815126MEDICAIDPENNSYLVANIA
122117318OTHERPENNSYLVANIAMAMSI-YH
13150700OTHERPENNSYLVANIAUNISON-YH OB

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: 5/5/2024

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.