Active NPI
Mark Anthony Goedecker, MD
- Family Medicine Physician
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD422476
- Practice address
- 2003 Springwood Rd
York, PA 17403-4836 - Phone
- (717) 851-2521
- Fax
- (717) 260-3330
- NPI assigned
- Jul 11, 2006
- 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 | MD422476 | PA | Primary |
Addresses
Primary practice location
2003 Springwood Rd
York, PA 17403-4836
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
46 Walnut Bottom Rd
Shippensburg, PA 17257-8219
Phone (717) 477-2764
Other practice location 2
4050 N George Street Ext
Manchester, PA 17345-9347
Phone (717) 356-4370
Other practice location 3
1790 Old Trail Rd Ste A
Etters, PA 17319-9600
Phone (717) 938-6588
Other practice location 4
935 Route 522
Selinsgrove, PA 17870-9714
Phone (570) 372-6102
Other practice location 5
601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5088
Other practice location 6
300 Willow St
Lebanon, PA 17046-4871
Phone (717) 356-2222
Other practice location 7
96 Sofia Dr Ste 208
Shrewsbury, PA 17361-5201
Phone (717) 812-2400
Other practice location 8
30 W Swartzville Rd
Reinholds, PA 17569-9641
Phone (717) 484-4347
Other practice location 9
3193 Cape Horn Rd
Red Lion, PA 17356-8810
Phone (717) 812-5888
Other practice location 10
105 4th St # 727
East Berlin, PA 17316-9638
Phone (717) 812-4900
Other practice location 11
354 Alexander Spring Rd Ste 3
Carlisle, PA 17015-7451
Phone (717) 477-2764
Other practice location 12
30 N 4th St
Lebanon, PA 17046-5606
Phone (717) 274-0474
Other practice location 13
1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 851-6250
Other practice location 14
101 Fairview Cir
Lebanon, PA 17042-9581
Phone (717) 279-7303
Other practice location 15
7055 Westbranch Hwy
Lewisburg, PA 17837-6808
Phone (570) 524-4141
Other practice location 16
7095 Westbranch Hwy Ste 1100
Lewisburg, PA 17837-6864
Phone (570) 524-5050
Other practice location 17
24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 593-0512
Other practice location 18
1000 Norland Ave
Chambersburg, PA 17201-4229
Phone (717) 267-6363
Other practice location 19
40 V Twin Dr Ste 204
Gettysburg, PA 17325-7878
Phone (717) 339-2424
Other practice location 20
446 N Reading Rd
Ephrata, PA 17522-9802
Phone (717) 738-5275
Other practice location 21
264 Granite Run Dr
Lancaster, PA 17601-6804
Phone (717) 721-8205
Other practice location 22
4131A Oregon Pike
Ephrata, PA 17522-9550
Phone (717) 859-1123
Other practice location 23
25 Monument Rd Ste 140-145
York, PA 17403-5060
Phone (717) 741-8003
Other practice location 24
1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 812-5190
Other practice location 25
9 Nathan Ln
Annville, PA 17003-6500
Phone (717) 639-3350
Other practice location 26
455 S Washington St Ste 12
Gettysburg, PA 17325-2516
Phone (717) 339-2875
Other practice location 27
717 Town Center Dr
York, PA 17408-4824
Phone (717) 356-4240
Other practice location 28
101 W Airport Rd
Lititz, PA 17543-9274
Phone (717) 466-2445
Other practice location 29
100 Frederick St Ste 101
Hanover, PA 17331-3518
Phone (717) 851-7050
Other practice location 30
100 Eisenhower Dr Ste 360
Hanover, PA 17331-5241
Phone (717) 646-4201
Other practice location 31
820 Chambersburg Rd
Gettysburg, PA 17325-3310
Phone (717) 337-4410
Other practice location 32
430 N Main St
Spring Grove, PA 17362-1123
Phone (717) 851-6500
Other practice location 33
2149 S Queen St
York, PA 17403-4845
Phone (717) 356-4460
Other practice location 34
2060 Carlisle Rd
Aspers, PA 17304-9707
Phone (717) 339-2585
Other practice location 35
2 Keefer Dr
Mercersburg, PA 17236-1732
Phone (717) 328-2119
Other practice location 36
300 W King St Ste C
Littlestown, PA 17340-1446
Phone (717) 339-2390
Other practice location 37
13515 Wolfe Rd Ste C
New Freedom, PA 17349-9346
Phone (717) 812-2501
Other practice location 38
8131 Spyglass Hill Dr
Fayetteville, PA 17222-5500
Phone (717) 749-3181
Other practice location 39
1135 Georgetown Rd Unit 201
Christiana, PA 17509-9543
Phone (717) 466-2462
Other practice location 40
964 Carpenter Rd
Milton, PA 17847-7527
Phone (570) 742-2300
Other practice location 41
720 Norman Dr
Lebanon, PA 17042-7481
Phone (717) 639-3230
Other practice location 42
6 Perri Ave
Myerstown, PA 17067-3200
Phone (717) 949-6581
Other practice location 43
1575 Bannister St Ste 1
York, PA 17404-4946
Phone (717) 812-2000
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106215 | Other | PA | JOHNS HOPKINS |
| 150700 | Other | PA | UNISON-YH OB |
| 2117318 | Other | PA | MAMSI-YH |
| P00329337 | Other | PA | RAILROAD MEDICARE |
| 50021846 | Other | PA | CAPITAL BLUE CROSS-YH |
| 7288130 | Other | PA | AETNA |
| 1544358 | Other | PA | HIGHMARK BLUE SHIELD |
| 100449 | Other | PA | GEISINGER |
| 100815126 | Medicaid | PA | |
| 146446 | Other | PA | UNISON-YH PCP |
| P004655 | Other | PA | GATEWAY-YH |
| 20027894 | Other | PA | AMERIHEALTH MERCY-YH |
| 621643 | Other | MD | CAREFIRST MD BCBS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031215000943 | PA | Practitioner - Family Practice | 8022915305 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Pennsylvania State University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
430 N Main St
Wellspan Family Medicine Spring Grove
Spring Grove, PA 17362-1123
Phone (717) 851-7227
Hospital & facility affiliations
- Wellspan York Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| York Hospital | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| York Hospital | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Family Medicine | Past | Accepting new patients |
| The University of Texas Health Science Center at San Antonio | Past | Accepting new patients | |
| Wellspan Medical Group | Past | Accepting new patients | |
| Wellspan Medical Group | Family Medicine | Past | Accepting new patients |
| Community Medicine Associates | Family Medicine | Past | Accepting new patients |
| Wellspan Medical Group | Past | Accepting new patients |
Locations (25 of 55)
9 Nathan Ln
Annville, PA 17003
Phone (717) 639-3350
2060 Carlisle Rd
Aspers, PA 17304
Phone (717) 339-2585
354 Alexander Spring Rd
Ste 3
Carlisle, PA 17015
Phone (717) 217-6820
785 5th Ave
Ste 3
Chambersburg, PA 17201
1000 Norland Ave
Chambersburg, PA 17201
Phone (717) 267-6363
446 N Reading Rd
Ephrata, PA 17522
Phone (717) 738-4334
4131A Oregon Pike
Ephrata, PA 17522
Phone (717) 859-1123
1790 Old Trail Rd
Ste A
Etters, PA 17319
Phone (717) 938-6588
8131 Spyglass Hill Dr
Fayetteville, PA 17222
Phone (717) 749-3181
40 V Twin Dr
Ste 204
Gettysburg, PA 17325
Phone (717) 339-2424
820 Chambersburg Rd
Gettysburg, PA 17325
Phone (717) 337-4206
455 S Washington St
Ste 12
Gettysburg, PA 17325
Phone (717) 334-1800
24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512
1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204
100 Eisenhower Dr
Ste 360
Hanover, PA 17331
Phone (717) 646-4201
100 Frederick St
Ste 101
Hanover, PA 17331
Phone (717) 851-7050
264 Granite Run Dr
Lancaster, PA 17601
Phone (717) 721-8205
30 N 4th St
Lebanon, PA 17046
Phone (717) 270-1949
720 Norman Dr
Lebanon, PA 17042
Phone (717) 279-6700
30 N 4th St
#2
Lebanon, PA 17046
Phone (717) 270-2374
7095 Westbranch Hwy
Ste 1100
Lewisburg, PA 17837
Phone (570) 524-5050
3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007
3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771
25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290
7055 Westbranch Hwy
Lewisburg, PA 17837
Phone (570) 524-4141
Interoperability endpoints
- mgoedecker15060@wellspan.direct-ci.com
Organizations & group practices 13
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.
-
- Urology Physician
- Lewisburg, PA
- NPI 1083412084
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- York, PA
- NPI 1104988740
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- York, PA
- NPI 1114885480
-
- Internal Medicine Physician
- York, PA
- NPI 1093883084
-
- Urgent Care Clinic/Center
- Hanover, PA
- NPI 1396211686
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
Family Medicine
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
Hospital & facility affiliations 4
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": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1760417455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 SPRINGWOOD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174034836",
"telephone_number": "717-851-2521",
"fax_number": "717-260-3330"
}
],
"practiceLocations": [
{
"address_1": "46 Walnut Bottom Rd",
"address_purpose": "LOCATION",
"city": "Shippensburg",
"state": "PA",
"postal_code": "172578219",
"country_code": "US",
"telephone_number": "717-477-2764",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4050 N George Street Ext",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "PA",
"postal_code": "173459347",
"country_code": "US",
"telephone_number": "717-356-4370",
"fax_number": "717-260-3316",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1790 Old Trail Rd Ste A",
"address_purpose": "LOCATION",
"city": "Etters",
"state": "PA",
"postal_code": "173199600",
"country_code": "US",
"telephone_number": "717-938-6588",
"fax_number": "717-938-9601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "935 Route 522",
"address_purpose": "LOCATION",
"city": "Selinsgrove",
"state": "PA",
"postal_code": "178709714",
"country_code": "US",
"telephone_number": "570-372-6102",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 E Main St",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172682332",
"country_code": "US",
"telephone_number": "717-765-5088",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Willow St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170464871",
"country_code": "US",
"telephone_number": "717-356-2222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "96 Sofia Dr Ste 208",
"address_purpose": "LOCATION",
"city": "Shrewsbury",
"state": "PA",
"postal_code": "173615201",
"country_code": "US",
"telephone_number": "717-812-2400",
"fax_number": "717-812-3005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 W Swartzville Rd",
"address_purpose": "LOCATION",
"city": "Reinholds",
"state": "PA",
"postal_code": "175699641",
"country_code": "US",
"telephone_number": "717-484-4347",
"fax_number": "717-484-0968",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3193 Cape Horn Rd",
"address_purpose": "LOCATION",
"city": "Red Lion",
"state": "PA",
"postal_code": "173568810",
"country_code": "US",
"telephone_number": "717-812-5888",
"fax_number": "717-741-3709",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 4th St # 727",
"address_purpose": "LOCATION",
"city": "East Berlin",
"state": "PA",
"postal_code": "173169638",
"country_code": "US",
"telephone_number": "717-812-4900",
"fax_number": "717-255-0951",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "354 Alexander Spring Rd Ste 3",
"address_purpose": "LOCATION",
"city": "Carlisle",
"state": "PA",
"postal_code": "170157451",
"country_code": "US",
"telephone_number": "717-477-2764",
"fax_number": "717-839-2772",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 N 4th St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170465606",
"country_code": "US",
"telephone_number": "717-274-0474",
"fax_number": "717-270-2374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 Roosevelt Ave",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174042244",
"country_code": "US",
"telephone_number": "717-851-6250",
"fax_number": "717-553-1269",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Fairview Cir",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170429581",
"country_code": "US",
"telephone_number": "717-279-7303",
"fax_number": "717-279-7471",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7055 Westbranch Hwy",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178376808",
"country_code": "US",
"telephone_number": "570-524-4141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7095 Westbranch Hwy Ste 1100",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178376864",
"country_code": "US",
"telephone_number": "570-524-5050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24 Antrim Commons Dr",
"address_purpose": "LOCATION",
"city": "Greencastle",
"state": "PA",
"postal_code": "172251623",
"country_code": "US",
"telephone_number": "717-593-0512",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Norland Ave",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172014229",
"country_code": "US",
"telephone_number": "717-267-6363",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40 V Twin Dr Ste 204",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173257878",
"country_code": "US",
"telephone_number": "717-339-2424",
"fax_number": "717-334-6659",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "446 N Reading Rd",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175229802",
"country_code": "US",
"telephone_number": "717-738-5275",
"fax_number": "717-738-5278",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "264 Granite Run Dr",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176016804",
"country_code": "US",
"telephone_number": "717-721-8205",
"fax_number": "717-721-8251",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4131A Oregon Pike",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175229550",
"country_code": "US",
"telephone_number": "717-859-1123",
"fax_number": "717-859-2898",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Monument Rd Ste 140-145",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035060",
"country_code": "US",
"telephone_number": "717-741-8003",
"fax_number": "717-461-7404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1227 Baltimore St",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173314406",
"country_code": "US",
"telephone_number": "717-812-5190",
"fax_number": "717-637-2245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9 Nathan Ln",
"address_purpose": "LOCATION",
"city": "Annville",
"state": "PA",
"postal_code": "170036500",
"country_code": "US",
"telephone_number": "717-639-3350",
"fax_number": "717-303-3546",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 S Washington St Ste 12",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173252516",
"country_code": "US",
"telephone_number": "717-339-2875",
"fax_number": "717-334-3921",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "717 Town Center Dr",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174084824",
"country_code": "US",
"telephone_number": "717-356-4240",
"fax_number": "717-356-4241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 W Airport Rd",
"address_purpose": "LOCATION",
"city": "Lititz",
"state": "PA",
"postal_code": "175439274",
"country_code": "US",
"telephone_number": "717-466-2445",
"fax_number": "717-466-2447",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Frederick St Ste 101",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173313518",
"country_code": "US",
"telephone_number": "717-851-7050",
"fax_number": "717-632-7478",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Eisenhower Dr Ste 360",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173315241",
"country_code": "US",
"telephone_number": "717-646-4201",
"fax_number": "717-646-4202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 Chambersburg Rd",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173253310",
"country_code": "US",
"telephone_number": "717-337-4410",
"fax_number": "717-337-0267",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "430 N Main St",
"address_purpose": "LOCATION",
"city": "Spring Grove",
"state": "PA",
"postal_code": "173621123",
"country_code": "US",
"telephone_number": "717-851-6500",
"fax_number": "717-775-3435",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2149 S Queen St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174034845",
"country_code": "US",
"telephone_number": "717-356-4460",
"fax_number": "717-260-3326",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2060 Carlisle Rd",
"address_purpose": "LOCATION",
"city": "Aspers",
"state": "PA",
"postal_code": "173049707",
"country_code": "US",
"telephone_number": "717-339-2585",
"fax_number": "717-677-4781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Keefer Dr",
"address_purpose": "LOCATION",
"city": "Mercersburg",
"state": "PA",
"postal_code": "172361732",
"country_code": "US",
"telephone_number": "717-328-2119",
"fax_number": "717-328-0071",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 W King St Ste C",
"address_purpose": "LOCATION",
"city": "Littlestown",
"state": "PA",
"postal_code": "173401446",
"country_code": "US",
"telephone_number": "717-339-2390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13515 Wolfe Rd Ste C",
"address_purpose": "LOCATION",
"city": "New Freedom",
"state": "PA",
"postal_code": "173499346",
"country_code": "US",
"telephone_number": "717-812-2501",
"fax_number": "717-461-7178",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8131 Spyglass Hill Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "PA",
"postal_code": "172225500",
"country_code": "US",
"telephone_number": "717-749-3181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1135 Georgetown Rd Unit 201",
"address_purpose": "LOCATION",
"city": "Christiana",
"state": "PA",
"postal_code": "175099543",
"country_code": "US",
"telephone_number": "717-466-2462",
"fax_number": "717-798-8433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "964 Carpenter Rd",
"address_purpose": "LOCATION",
"city": "Milton",
"state": "PA",
"postal_code": "178477527",
"country_code": "US",
"telephone_number": "570-742-2300",
"fax_number": "570-742-6276",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "720 Norman Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170427481",
"country_code": "US",
"telephone_number": "717-639-3230",
"fax_number": "717-274-1659",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 Perri Ave",
"address_purpose": "LOCATION",
"city": "Myerstown",
"state": "PA",
"postal_code": "170673200",
"country_code": "US",
"telephone_number": "717-949-6581",
"fax_number": "717-949-2816",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1575 Bannister St Ste 1",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174044946",
"country_code": "US",
"telephone_number": "717-812-2000",
"fax_number": "717-812-2010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOEDECKER",
"first_name": "MARK",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD422476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "106215",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-YH OB",
"identifier": "150700",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI-YH",
"identifier": "2117318",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00329337",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-YH",
"identifier": "50021846",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7288130",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1544358",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "100449",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100815126",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-YH PCP",
"identifier": "146446",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-YH",
"identifier": "P004655",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-YH",
"identifier": "20027894",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "621643",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.