MR. JOHN JOSEPH GOEDERT III PA-C
NPI 1295118446
Physician Assistant in Henderson, KY

Active since July 07, 2015
1200 BARRETT BLVD, HENDERSON, KY 42420(270) 844-8600(270) 844-8610 Get Directions Write a Review

NPPES record last updated: April 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2018, Dec 30, 2016, Oct 1, 2015 (3 updates tracked since 2015).

About Mr. John Joseph Goedert Iii Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN JOSEPH GOEDERT III PA-C (NPI 1295118446) is an individual physician assistant in Henderson, Kentucky, licensed in Kentucky (TC699) and active in the NPI registry since July 2015. He maintains a secondary practice location in Princeton.

NPPES Registry Identity

NPI1295118446
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHN JOSEPH GOEDERT IIICredential: PA-C
Location Address1200 BARRETT BLVDHenderson, KY 42420-4950
Mailing AddressPo Box 23229Owensboro, KY 42304-3229 · (270) 691-8070 · Fax (270) 691-8026
Fax(270) 844-8610
Sole ProprietorNo
Enumeration DateJuly 7, 2015
Last NPPES UpdateApril 23, 20183 updates tracked since enumeration
NPI 1295118446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in KY · TC699 Licensed in IN · 10001845A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1200 BARRETT BLVD, Henderson, KY 42420

Secondary Practice Location 1

Location 14000 S Tulip Tree DrPrinceton, IN 47670-2300 · Phone (812) 387-2045 · Fax (812) 387-2045

Other Identifiers 1

MedicaidPENDINGKY

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1200 BARRETT BLVD
HENDERSON, KY 42420
Nurse Practitioner (Family)
1200 BARRETT BLVD
HENDERSON, KY 42420
Clinical Medical Laboratory
1200 BARRETT BLVD
HENDERSON, KY 42420
Family Medicine
1200 BARRETT BLVD
HENDERSON, KY 42420
Nurse Practitioner (Family)
1200 BARRETT BLVD
HENDERSON, KY 42420
Nurse Practitioner (Family)
1200 BARRETT BLVD
HENDERSON, KY 42420
Nurse Practitioner (Family)
1200 BARRETT BLVD
HENDERSON, KY 42420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Goedert's NPI number?

The NPI number for John Goedert is 1295118446. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is John Goedert located?

John Goedert practices at 1200 Barrett Blvd, Henderson, KY 42420. The listed phone number is (270) 844-8600.

What is John Goedert's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for John Goedert was last updated on April 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.