Active NPI
Timothy J Goetze, D.O.
- Family Medicine Physician
- Beaver Falls, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS014156
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023215730001 | Medicaid | PA | |
| 3002066 | Medicaid | OH |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1302 7TH Ave
Beaver Falls, PA 15010-4217
Phone (724) 843-0314
Hospital & facility affiliations
- Heritage Valley Beaver
- Upmc Altoona
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS014156 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Health Network | Current | Accepting new patients | |
| Primary Health Network | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Sharon, PA
- NPI 1417932609
-
- Federally Qualified Health Center (FQHC)
- Emlenton, PA
- NPI 1750181038
-
- Federally Qualified Health Center (FQHC)
- Mercer, PA
- NPI 1447382296
Family Medicine
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Altoona, PA
- NPI 1649278730
-
- Psychiatric Hospital Unit
- Altoona, PA
- NPI 1699773465
-
- General Acute Care Hospital
- Beaver, PA
- NPI 1063422053
-
- General Acute Care Hospital
- Beaver Falls, PA
- NPI 1306989983
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sewickley, PA
- NPI 1528101458
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.