Gregory L Goetz DO a Professional Corp

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

1182 Issued in NV

Legal business name

GREGORY L GOETZ DO A PROFESSIONAL CORP

Practice address

7140 Smoke Ranch Rd
Las Vegas, NV 89128-3157

Phone

(702) 320-8111

Fax

(702) 839-4846

NPI assigned

May 21, 2008

Last updated

Jun 20, 2018By 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

Gregory L Goetz, DO

Title

Anesthesiology

Phone

(702) 320-8111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1316104946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 SUMMER MESA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891441506",
            "telephone_number": "702-320-8111",
            "fax_number": "702-839-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 SMOKE RANCH RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283157",
            "telephone_number": "702-320-8111",
            "fax_number": "702-839-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L GOETZ DO A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "GOETZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ANESTHESIOLOGY",
        "authorized_official_telephone_number": "702-320-8111",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "1182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Anesthesiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.