Individual provider Active NPI

Timothy J Goetze, D.O.

  • Family Medicine Physician
  • Beaver Falls, PA
National Provider Identifier
1497979272
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS014156 Issued in PA
Practice address
1302 7TH Ave
Beaver Falls, PA 15010-4217
Phone
(724) 843-4400
Fax
(724) 843-0316
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS014156 PA Primary

Addresses

Primary practice location

1302 7TH Ave
Beaver Falls, PA 15010-4217

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (724) 843-4400

Other identifiers 2

IdentifierTypeStateIssuer
1023215730001MedicaidPA
3002066MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090728000181 PA Practitioner - Family Practice 4183777949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health NetworkGroup PAC ID 9234046228, 64 clinicians

Practice addresses (Care Compare)

1302 7TH Ave
Beaver Falls, PA 15010-4217
Phone (724) 843-0314

Hospital & facility affiliations

  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036
  • Upmc Altoona Hospital, Altoona, PA, CCN 390073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS014156PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Aug 1, 2009 Accepting new patients
Primary Health Network CurrentSince Aug 1, 2009 Accepting new patients
Primary Health Network Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

99 Autumn St
Aliquippa, PA 15001
Phone (724) 375-5754

1302 7th Ave
Beaver Falls, PA 15010
Phone (724) 843-0314

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

Interoperability endpoints

  • Direct secure messaging: timothygoetze@primaryhn.medalliesdirect.net

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497979272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "724-843-4400",
            "fax_number": "724-843-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 7TH AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104217",
            "telephone_number": "724-843-4400",
            "fax_number": "724-843-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZE",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023215730001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3002066",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

Verify at the official NPI Registry.