Phillip James Goetz, PA-S

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

142376661206 Issued in UT

Practice address

13142 S Eagle Peak Dr
Herriman, UT 84096-6969

Phone

(801) 636-9608

NPI assigned

Apr 10, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Phillip J Goetz Other name

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  Single Specialty, UT

  Medicare reassignment NPD

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1336881408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13142 S EAGLE PEAK DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840966969",
            "telephone_number": "801-636-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13142 S EAGLE PEAK DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840966969",
            "telephone_number": "801-636-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "PHILLIP",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-10",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "142376661206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILLIP",
            "last_name": "GOETZ",
            "middle_name": "J",
            "credential": "PJ GOETZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gregory Gardner, PHARMD
• Amber Garn
• Kathleen Garrett, CHES
• Aubrey Garside
• Godbee Group, LLC Dba Verify Vitals
• Emily Goldman
• Lukayla Graham
• Hope Lindsey Greeley
• Melinda Dawn Green, MASSAGE PRACTITIONER
• Sydney Mykelle Green

• Medical Physician Assistant in Herriman, UT
• Providers in Herriman, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.
• 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.