MR. PHILLIP JAMES GOETZ PA-S
NPI 1336881408
Physician Assistant - Medical in Herriman, UT

Q: What is Phillip Goetz's NPI number?

The NPI number for Phillip Goetz is 1336881408. It was assigned to this individual provider in the NPPES registry on April 10, 2022. The provider is also known as Phillip J Goetz Pj Goetz.

Q: What is Phillip Goetz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Goetz was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since April 10, 2022PECOS Enrolled

13142 S EAGLE PEAK DR, HERRIMAN, UT 84096(801) 636-9608 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Phillip James Goetz Pa-s NPPES

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

MR. PHILLIP JAMES GOETZ PA-S (NPI 1336881408) is an individual medical provider in Herriman, Utah, licensed in Utah (142376661206) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1336881408

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. PHILLIP JAMES GOETZCredential: PA-S

Location Address13142 S EAGLE PEAK DRHerriman, UT 84096-6969

Mailing Address13142 S Eagle Peak DrHerriman, UT 84096-6969 · (801) 636-9608

Phone(801) 636-9608

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateApril 10, 2022

Last NPPES UpdateOctober 23, 2025

NPPES CertifiedOctober 23, 2025

✔ NPI 1336881408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in UT · 142376661206

13142 S EAGLE PEAK DR, Herriman, UT 84096

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Other Names 1

Other Name (5)Phillip J Goetz Pj Goetz

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Phillip James Goetz Pa-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729560594

PECOS Enrollment IDI20260303001097

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Phillip Goetz's NPI number?

The NPI number for Phillip Goetz is 1336881408. It was assigned to this individual provider in the NPPES registry on April 10, 2022. The provider is also known as Phillip J Goetz Pj Goetz.

Where is Phillip Goetz located?

Phillip Goetz practices at 13142 S Eagle Peak Dr, Herriman, UT 84096. The listed phone number is (801) 636-9608.

What is Phillip Goetz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Phillip Goetz enrolled in Medicare?

Yes. Phillip Goetz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Goetz was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.