Individual provider Active NPI

Stephen D Goerz, MD

  • Anesthesiology Physician
  • Georgetown, SC
National Provider Identifier
1215917448
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
21799 Issued in SC
Practice address
606 Black River Rd
Anesthesia Dept
Georgetown, SC 29440-3304
Phone
(843) 527-7000
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101202001024 SC Practitioner - Anesthesiology 8628154895 Reassigns benefits to 1 organization
I20110831000661 GA Practitioner - Anesthesiology 8628154895 Reassigns benefits to 1 organization
I20140227000848 FL Practitioner - Anesthesiology 8628154895 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21799SCMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Anesthesiology LLC Anesthesiology CurrentSince Oct 9, 2019 Accepting new patients
Quiescence Anesthesia LLC CurrentSince Nov 1, 2019 Accepting new patients
Island Anesthesia Services LLC Anesthesiology PastSince Jul 18, 2000 Accepting new patients

Locations

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

93 N Park Place Blvd
Ste 102
Clearwater, FL 33759
Phone (727) 240-2088

980 Milwaukee Ave
Dunedin, FL 34698
Phone (330) 704-4752

5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166

10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118

9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597

9726 Touchton Rd
Ste 305
Jacksonville, FL 32246
Phone (904) 686-6020

619 SW Baya Dr
Ste 102
Lake City, FL 32025
Phone (386) 361-3400

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484

6900 Turkey Lake Rd
Ste 2-5
Orlando, FL 32819
Phone (407) 354-5401

598 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 256-2565

1399 Jenks Ave
Bldg J
Panama City, FL 32401
Phone (850) 532-6303

3505 Progress Ln
Saint Cloud, FL 34769
Phone (407) 348-5175

1879 Nightingale Ln
Ste A1
Tavares, FL 32778
Phone (352) 401-1919

15548 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 547-1654

1111 Glynco Pkwy
Ste 300
Brunswick, GA 31525
Phone (912) 262-6552

3243 Glynn Ave
Brunswick, GA 31520
Phone (912) 264-9029

1015 Arthur J Moore Dr
St Simons Island, GA 31522
Phone (912) 634-1993

4901 Dawn Dr
Ste 1100
Lumberton, NC 28360
Phone (910) 887-2361

20403 University Blvd
Ste 600
Sugar Land, TX 77478
Phone (281) 340-9000

161 Fort Evans Rd NE
Ste 320
Leesburg, VA 20176
Phone (703) 777-5111

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 21799 SC Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 21799 SC

Addresses

NPPES NPI Registry

Primary practice location

606 Black River Rd
Anesthesia Dept
Georgetown, SC 29440-3304

Mailing address

PO Box 1718
Georgetown, SC 29442-1718
Phone (843) 557-7443

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
T59576MedicaidSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2008.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1215917448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294421718",
            "telephone_number": "843-557-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BLACK RIVER RD",
            "address_2": "ANESTHESIA DEPT",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403304",
            "telephone_number": "843-527-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERZ",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "21799",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "21799",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T59576",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

Verify at the official NPI Registry.