MEDICARE: DR. ROBERT H. GOEBEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	Q2667	TX
2	2085R0001X	Radiation Oncology Physician	MD182377	OR
3	2085R0001X	Radiation Oncology Physician	MD60457211	WA
4	2085R0001X	Radiation Oncology Physician	37612	IA
5	208D00000X	General Practice Physician	G-38910	CA
6	2085R0001X	Radiation Oncology Physician	2085R0001X	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174620504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT H. GOEBEL M.D.

Provider Business Mailing Address
First Line	:	16201 TYPHOON LN
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-2541
Country	:	US
Telephone Number	:	714-421-7927
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 BUCKWALTER PLACE BLVD STE 150
Second Line	:
City	:	BLUFFTON
State	:	SC
Zip	:	29910-5023
Country	:	US
Telephone Number	:	843-836-7120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	06/13/2024

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