Individual provider Active NPI

Robert Carl Goethe, MD

  • Anesthesiology Physician
  • Crystal River, FL
National Provider Identifier
1730151101
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME50717 Issued in FL
Practice address
6201 N Suncoast Blvd
Crystal River, FL 34428-6712
Phone
(352) 795-4008
Fax
(352) 795-9041
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 10

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME50717FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Anesthesia Consultants LLC Anesthesiology Past Accepting new patients
Amsol Physicians of Columbus Ga LLC Anesthesiology Past Accepting new patients
Jennifer Sassi PA PastSince Feb 5, 2014 Accepting new patients
Missoula Anesthesiology, P.C. Anesthesiology PastSince Jan 29, 2023 Accepting new patients
Sand Anesthesia Group Anesthesiology Past Accepting new patients
Cumberland Anesthesia Group LLC Anesthesiology Past Accepting new patients
South Georgia Regional Anesthesia, PC Past Accepting new patients
Ma Critical Care Services, PC Past Accepting new patients
Henry Anesthesia Associates LLC Anesthesiology Past Accepting new patients
Medical Anesthesia and Pain Management Consultants, P.a. Anesthesiology PastSince May 1, 2015 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME50717 FL Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME50717 FL

Addresses

NPPES NPI Registry

Primary practice location

6201 N Suncoast Blvd
Crystal River, FL 34428-6712

Mailing address

PO Box 457
Crystal River, FL 34423-0457
Phone (352) 795-4008

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
08355OtherFLBLUE CROSS
1801801527OtherFLC.R. ANESTHESIA, P.A.
267181600MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2010.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1730151101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344230457",
            "telephone_number": "352-795-4008",
            "fax_number": "352-795-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SUNCOAST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286712",
            "telephone_number": "352-795-4008",
            "fax_number": "352-795-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETHE",
        "first_name": "ROBERT",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME50717",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME50717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "08355",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C.R. ANESTHESIA, P.A.",
            "identifier": "1801801527",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267181600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.