Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PETER VERNON GOETCHIUS, PHYSICIAN ASSISTANT
ActiveMR. PETER VERNON GOETCHIUS, PHYSICIAN ASSISTANT is a Medical Physician Assistant healthcare provider located in FORT DRUM, New York. NPI 1285610451 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FORT DRUM, NY
Registration Details
- NPI Number
- 1285610451
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2005 (20.675564745586 yrs)
- Last Updated
- May 20, 2008
- License
-
000219-0 (NY)
Practice Information
- Address
-
11050 MOUNT BELVEDERE BLVDUSA MEDDAC ATTN: CREDENTIALSFORT DRUM, NY, 136025438Browse NY providers · Browse ZIP 13602
- Phone
- 3157724025
- Fax
- 3157729498
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FORT DRUM, NY
| Name | Credential | NPI |
|---|---|---|
| JEFFREY GLEN HART | PA-C | 1396728846 |
| MR. GEORGE JOSEPH DEVITA | PA-C | 1104803964 |
| JEANNE YEAGLE | P.A. | 1902883564 |
| MR. GREGORY JOHN PATAKY | APA-C | 1821076324 |
| MS. TANYA MONIQUE PEREZ | PA | 1881672350 |
| HENDERSON VICTOR WIJAYA | PA-C | 1326418823 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.