John P Goeddertz is a Boise, Idaho based nurse anesthetist with 25 years of experience as Anesthesia Administration. He completed he graduation in 2000. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of John P Goeddertz is RNA-694 for Anesthesia Administration in Idaho. his current practice location is 1055 N Curtis Rd, Boise. Patients can reach him at 208-367-2163. John P Goeddertz is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1659424125. John P Goeddertz is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
John P Goeddertz speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
25+ years
Medical School Attended:
Other
Graduation Year:
2000
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1055 N Curtis Rd, Boise, Idaho, 83706-1309
Phone:
208-367-2163
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8921025735
Enrollment ID:
I20070910000754
NPI Number:
1659424125
NPI Enumeration Date:
19 Jan, 2007
NPI Last Update On:
09 Oct, 2023
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John P Goeddertz are as mentioned below.
License Number
Specialization
State
Status
RNA-694
Anesthesia Administration
Idaho
Primary
R26650
Anesthesia Administration
North Dakota
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Treasure Valley Hospital (130063)
Boise, ID
Acute Care Hospital
Saint Alphonsus Regional Medical Center (130007)
Boise, ID
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which John P Goeddertz has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Anesthesiology Consultants Of Treasure Valley Pllc (4981661196)
15
Other Medical Identifiers:
Other legacy medical identifiers associated with John P Goeddertz such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
12462
Medicaid
North Dakota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 190930, Boise, Idaho
Zip:
83719-0930
Phone Number:
208-302-9342
Fax Number:
208-367-5180
Patients can reach John P Goeddertz at 1055 N Curtis Rd, Boise, Idaho or can call to book an appointment on 208-367-2163.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.