Thomas J Goetz, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

100682 Issued in NE

Practice address

115 E 52ND St
Kearney, NE 68847-0502

Phone

(308) 236-5506

Fax

(308) 236-7089

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE, SD2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Siouxland Anesthesiology LTDGroup PAC ID 2668453069, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dunes Surgical Hospital Hospital, Dakota Dunes, SD, CCN 430089

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Siouxland Anesthesiology, LTD

  • Pain Medicine (Anesthesiology) Physician
  • Dakota Dunes, SD
  • NPI 1669496337

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Greater Siouxland Anesthesiology & Pain Prof LLC

  • Certified Registered Nurse Anesthetist
  • South Sioux City, NE
  • NPI 1750916490

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Kearney Anesthesia Associates PC

  • Certified Registered Nurse Anesthetist
  • Kearney, NE
  • NPI 1578593752

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Siouxland Surgery Center Limited Liability Partnership

  • Special Hospital
  • Dakota Dunes, SD
  • NPI 1093714073
  Care Compare affiliation

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1306876362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1771",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688481771",
            "telephone_number": "308-236-5506",
            "fax_number": "308-236-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 52ND ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688470502",
            "telephone_number": "308-236-5506",
            "fax_number": "308-236-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068752615",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Smith Counseling Services
• Lynette Glendy, CPSS
• Amy M Godinez
• Jill Goedert, OT
• Kinzee Goehring
• Randall Lee Goldfish
• Amanda Gonzales
• Hugo Gonzalez Nieto, M.D.
• Maria Gonzalez
• Good Samaritan Hospital

• Certified Registered Nurse Anesthetist in Kearney, NE
• Providers in Kearney, NE by specialty
• Certified Registered Nurse Anesthetist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.