William D. Goudy D.O., PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WILLIAM D. GOUDY D.O., PC

Practice address

1306 E 7TH St
Suite B
Auburn, IN 46706-2537

Phone

(260) 927-1982

Fax

(260) 927-8380

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

William D. Goudy, DO

Title

Ceo

Phone

(260) 927-1982

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1770701104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 E 7TH ST",
            "address_2": "SUITE B",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467062537",
            "telephone_number": "260-927-1982",
            "fax_number": "260-927-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 E 7TH ST",
            "address_2": "SUITE B",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467062537",
            "telephone_number": "260-927-1982",
            "fax_number": "260-927-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D. GOUDY D.O., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "GOUDY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-927-1982",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000335961",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC0427",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100103820A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thaddeus R Weghorst, MD
• Bonnie Wellman
• Denise Marie Wells, LCSW
• Wesley Healthcare Inc.
• Elizabeth Wickliffe, BS
• Danielle Wilson
• Penny Worman
• Terry Wright
• Meridith Christine Yochim, PA-C
• Alexia Jade Zawadzke, DPT

• General Practice Physician in Auburn, IN
• Providers in Auburn, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.