Austin B Goetz, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD459311 Issued in PA

Practice address

204 E Chester Pike Ste 1
Ridley Park, PA 19078-1709

Phone

(610) 521-4833

Fax

(610) 521-2651

NPI assigned

Jun 14, 2013

Last updated

Aug 29, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Specialty

General Surgery

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Health Mid-Atlantic Medical GroupGroup PAC ID 7416861885, 350 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nazareth Hospital Hospital, Philadelphia, PA, CCN 390204
• Mercy Catholic Medical Center- Mercy Fitzgerald Hospital, Darby, PA, CCN 390156

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: agoetz3508405@direct.trinity-health.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trinity Health Mid-Atlantic Medical Group

  dba THMA MG Surgical Associates Holme

  • Surgery Physician
  • Langhorne, PA
  • NPI 1972982361
  Medicare reassignment Care Compare group NPD
• Prospect Health Access Network, Inc.

  • Emergency Medicine Physician
  • Chester, PA
  • NPI 1568819084
  Medicare reassignment NPD
• Mercy Catholic Medical Center of Southeastern PA

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1437130705
  Medicare reassignment
• Prospect Health Access Network, Inc.

  • Diagnostic Radiology Physician
  • Chester, PA
  • NPI 1154776797
  NPD
• Prospect Health Access Network, Inc.

  • Surgery Physician
  • Chester, PA
  • NPI 1922455443
  NPD
• Trinity Health Mid-Atlantic Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1639039175
  NPD
• Trinity Health Mid-Atlantic Medical Group

  dba THMA MG Trauma Service Langhorne

  • Trauma Surgery Physician
  • Langhorne, PA
  • NPI 1093771271
  NPD (past)

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1447699236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E CHESTER PIKE STE 1",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190781709",
            "telephone_number": "610-521-4833",
            "fax_number": "610-521-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CHESTER PIKE STE 1",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190781709",
            "telephone_number": "610-521-4833",
            "fax_number": "610-521-2651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Langhorne Newtown Rd Ste 225",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471201",
            "country_code": "US",
            "telephone_number": "215-710-6613",
            "fax_number": "215-710-6614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "AUSTIN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD459311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen S Gabroy, MD
• Gayle E Gilmore, PTA
• David S Ginsburg, MD
• Howard T Gitter, MD
• Timothy Justin Gobrecht, PA-C
• Robert J Golder, CRNA
• Judith S Guerisma, PA-C
• Gurpreet Kochar MD PC
• Richard Hayes, D.D.S., M.S.
• Health Access Network (HAN Jeffrey Darnall, MD)

• Surgery Physician in Ridley Park, PA
• Providers in Ridley Park, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.