Angus Goetz DO PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

TL981 Issued in WY

Legal business name

ANGUS GOETZ DO PC

Practice address

945 W Broadway
Suite 202
Jackson, WY 83001-1359

Phone

(307) 734-5999

Fax

(307) 734-0345

NPI assigned

Jun 16, 2008

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angus Goetz, DO

Title

President

Phone

(307) 734-5999

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill Vatter, RN

  • Registered Nurse
  • Jackson, WY
  • NPI 1891241485
  NPD (past)
• Justin Paul Grube, PA-C

  • Physician Assistant
  • Eau Claire, WI
  • NPI 1811217417
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1215197041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11359",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830021359",
            "telephone_number": "307-734-5999",
            "fax_number": "307-734-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 W BROADWAY",
            "address_2": "SUITE 202",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830011359",
            "telephone_number": "307-734-5999",
            "fax_number": "307-734-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGUS GOETZ DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "GOETZ",
        "authorized_official_first_name": "ANGUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-734-5999",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WY",
            "license": "TL981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Anderson, DDS
• Scot Thomas Anderson, D.C.
• Julia Marie Andracki, OTR
• Donna J. Andrus, M.S.
• Anesthesia Services of Jacksonhole, P.C.
• Cynthia L Archer, MD
• Allison Odato Armitage
• Stephen Louis Arnold, DPT
• Deidre Ashley
• Ivy E. Assenberg, LPC

• Orthopaedic Surgery Physician in Jackson, WY
• Providers in Jackson, WY by specialty
• Orthopaedic Surgery Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.