National Provider Identifier
James Peter Goetz, M.D.
James Peter Goetz, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Brockport, NY and a listed phone number of (585) 637-3905.
Profile Overview
- NPI
- 1336183318
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- June 16, 2006
- Last Updated
- July 08, 2007
Practice Location
- 300 West Ave
- Brockport, NY 14420-1118
Phone: (585) 637-3905
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1336183318
- Entity Type
- Individual
- Last Name
- Goetz
- First Name
- James
- Middle Name
- Peter
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 300 West Ave
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1118
- Mailing Country
- US
- Mailing Phone
- (585) 637-3905
- Mailing Fax
- (585) 637-4990
- Practice Street Address
- 300 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1118
- Practice Country
- US
- Practice Phone
- (585) 637-3905
- Practice Fax
- (585) 637-4990
- Enumeration Date
- June 16, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 000526031001 (NY, Independent Health), 5651454 (NY, Aetna Hmo/Ppo/Pos), 100842DL (NY, Preferred Care), 9681866 (NY, Mvp Select Care), 000010902030 (NY, Fidelis), 00464397 (NY)