Active NPI
Gregory G Goetz, MD
- Family Medicine Physician
- Milwaukee, WI
National Provider Identifier
1821113531
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Oct 18, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23351
- Practice address
- 9431 W Beloit Rd
#119
Milwaukee, WI 53227-4367 - Phone
- (414) 881-9185
- Fax
- (414) 727-4056
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 23351 | WI | Primary |
Addresses
Primary practice location
9431 W Beloit Rd
#119
Milwaukee, WI 53227-4367
Mailing address
9431 W Beloit Rd
#119
Milwaukee, WI 53227-4367
Phone (414) 881-9185
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
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23351 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1821113531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9431 W BELOIT RD",
"address_2": "#119",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532274367",
"telephone_number": "414-881-9185",
"fax_number": "414-727-4056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9431 W BELOIT RD",
"address_2": "#119",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532274367",
"telephone_number": "414-881-9185",
"fax_number": "414-727-4056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOETZ",
"first_name": "GREGORY",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "23351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.