Mary Goetsch, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7416 Issued in AZ

Practice address

3303 E Baseline Rd Ste 208
Gilbert, AZ 85234-2728

Phone

(480) 962-1650

Fax

(480) 962-1883

NPI assigned

Feb 22, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mary Morhardt Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Sleep Physicians, Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Mesa, AZ
  • NPI 1265874630
  Medicare reassignment
• Valley Oximetry Incorporated

  • Sleep Disorder Diagnostic Clinic/Center
  • Goodyear, AZ
  • NPI 1629689336
  NPD (past)
• Valley Oximetry Incorporated

  • Sleep Disorder Diagnostic Clinic/Center
  • Mesa, AZ
  • NPI 1700844610
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1083171375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD STE 208",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342728",
            "telephone_number": "480-962-1650",
            "fax_number": "480-962-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD STE 208",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342728",
            "telephone_number": "480-962-1650",
            "fax_number": "480-962-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETSCH",
        "first_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2021-11-03",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "7416",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MORHARDT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Glynn-Binkley, RN
• Andrea Go, PA-C
• Brandon Garth Goates, DMD
• Jordynn Gocklin
• Kristine Anne Godinez, LPC
• Tushar Gohel, MD
• Jonathan Goit, DO
• Golden State Enterprises LLC
• Kristin Michelle Golden, ATC, LAT
• David Todd Goldenberg, MD

• Physician Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.