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Dr. Henry John Goetzman , DO

Pediatrics β€’ Nellis Afb, NV

Active NPI 1326669326 Individual Practitioner Male Practitioner
Practice location in NPPES

4700 Las Vegas Blvd N
Nellis Afb, NV 891916600

Call 7026532273 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4700 Las Vegas Blvd N

Nellis Afb, NV 891916600

Telephone 7026532273
Organization at the Same NPPES Address or Phone
99th Medical Group, Nellis Afb Facility NPI 1740261122

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Nellis Afb and Nevada

11 active clinicians are listed under Pediatrics with a practice address in Nellis Afb, NV (380 in Nevada).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Nellis Afb

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-26
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES VA 0102206937

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nevada State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Victor Ingram , LCSW

Social Worker - Clinical

NPI 1043745557

Licensed Clinical Social Worker

Dr. Edward Kempton , MD

Emergency Medicine

NPI 1003442971

Doctor of Medicine (M.D.)

Dr. Aaron Lewis , MD

Internal Medicine - Gastroenterology

NPI 1063585743

Doctor of Medicine (M.D.)

Dr. Kenneth Narayan , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1013579507

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

Dr. Wesley Oaties , DPT

Physical Therapist

NPI 1053928390

Doctor of Physical Therapy

Ashley Pantuso , APRN

Nurse Practitioner - Family

NPI 1033726286

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 26, 2024

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532273)

πŸ“
Updated Business Mailing Address July 26, 2024

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532273)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2024

Pediatrics (license number reported to NPPES: VA 0102206937)

βœ…
NPI Profile Active April 30, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 30, 2020

Registered at 8901 WISCONSIN AVE, BETHESDA, MD 208890004 (Tel: 3013195437)

πŸ“
Business Mailing Address (Initial Record) April 30, 2020

Registered at 8901 WISCONSIN AVE, BETHESDA, MD 208890004 (Tel: 3013195437)

πŸ‘€
Provider Name / Credentials (Initial Record) April 30, 2020

Recorded as HENRY GOETZMAN, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 30, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1326669326
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2020
Last Update: July 26, 2024
Sole Proprietor: No

Mailing Address

4700 Las Vegas Blvd N

Nellis Afb, NV 891916600

Phone: 7026532273

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.