Active NPI
William E Goetter, MD
- Pulmonary Disease Physician
- Fairhope, AL
National Provider Identifier
1942301577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 00005959
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100820000197 | AL | Practitioner - Pulmonary Disease | 6800796731 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00005959 | AL | MD | Pulmonary Disease Physician |
Practice roles (3 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Health Hospitals, Inc. | Current | Accepting new patients | |
| Eastern Shore Medical Specialists, LLC | Current | Accepting new patients | |
| Gulf Health Hospitals, Inc. | Current | 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
- 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.
-
- Specialist
- Fairhope, AL
- NPI 1366594780
-
- Home Infusion Therapy Pharmacy
- Daphne, AL
- NPI 1679347561
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.