Fredrick William Goetsch, R.N

Primary specialty

Registered NurseTaxonomy code 163W00000X

Practice address

1103 Farnham St
Columbus, WI 53925-1856

Phone

(920) 623-0286

Fax

(920) 623-0286

NPI assigned

Nov 21, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1639152002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 FARNHAM ST",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251856",
            "telephone_number": "920-623-0286",
            "fax_number": "920-623-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 FARNHAM ST",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251856",
            "telephone_number": "920-623-0286",
            "fax_number": "920-623-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETSCH",
        "first_name": "FREDRICK",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "R.N",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38264800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam L Forster, D.D.S.
• Margaret Mary Frank, PHARM D
• Gary J Galvin, MD
• Rene A Gellings, PA C
• Angela Genco, PT
• Kelsey Gorski
• Leanne Kaye Gove, COTA
• Kimberly Joeann Grebel, DPT
• Elizabeth Groce, PT
• Lisa M Haag

• Registered Nurse in Columbus, WI
• Providers in Columbus, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.