Individual provider Active NPI

William E Goetter, MD

  • Pulmonary Disease Physician
  • Fairhope, AL
National Provider Identifier
1942301577
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
00005959 Issued in AL
Practice address
3 Medical Park Drive
Fairhope, AL 36532
Phone
(251) 928-8804
Fax
(251) 990-9379
NPI assigned
Sep 26, 2006
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
Pulmonary Disease Physician 207RP1001X 00005959 AL Primary

Addresses

Primary practice location

3 Medical Park Drive
Fairhope, AL 36532

Mailing address

3 Medical Park Drive
Fairhope, AL 36532
Phone (251) 928-8804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000197 AL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 6800796731 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00005959ALMDPulmonary Disease Physician

Practice roles (3 of 8)

OrganizationSpecialtyStatusNew patients
Gulf Health Hospitals, Inc. CurrentSince Jan 29, 2022 Accepting new patients
Eastern Shore Medical Specialists, LLC CurrentSince Jan 1, 1995 Accepting new patients
Gulf Health Hospitals, Inc. CurrentSince Jan 29, 2022 Accepting new patients

Locations

8367 Morphy Ave
Ste A
Fairhope, AL 36532
Phone (251) 279-1245

188 Hospital Dr
Ste 402
Fairhope, AL 36532
Phone (251) 279-1245

8367 Morphy Ave
#B
Fairhope, AL 36532
Phone (251) 410-6334

3 Medical Park Dr
Fairhope, AL 36532
Phone (251) 928-8804

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01G0
  • bcbs alabama network 01E0
  • bcbs alabama network 01B0
  • bcbs alabama network 01C0

Interoperability endpoints

  • Direct secure messaging: william.goetter.1@17993.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942301577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK DRIVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-928-8804",
            "fax_number": "251-990-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK DRIVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-928-8804",
            "fax_number": "251-990-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETTER",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "00005959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.