Individual provider Active NPI

Robert Eduard Goeltsch, MD

  • Obstetrics & Gynecology Physician
  • Harrisburg, PA
National Provider Identifier
1801903711
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD014264E Issued in PA
Practice address
845 Sir Thomas CT
Suite 8
Harrisburg, PA 17109-4840
Phone
(717) 671-8747
Fax
(717) 671-8918
NPI assigned
Aug 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD014264E PA Primary

Addresses

Primary practice location

845 Sir Thomas CT
Suite 8
Harrisburg, PA 17109-4840

Mailing address

1821 Fulton St
Harrisburg, PA 17102-1522
Phone (717) 230-3906

Other identifiers 1

IdentifierTypeStateIssuer
0855951MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801903711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 FULTON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171021522",
            "telephone_number": "717-230-3906",
            "fax_number": "717-230-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 SIR THOMAS CT",
            "address_2": "SUITE 8",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094840",
            "telephone_number": "717-671-8747",
            "fax_number": "717-671-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOELTSCH",
        "first_name": "ROBERT",
        "middle_name": "EDUARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD014264E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0855951",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.