Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Andrea Jo Goethals, D.O.

Surgery Physician in Grand Blanc, MI · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104956895

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Registry record

Entity type Individual (Type 1)

Name Andrea Jo Goethals

Credential D.O.

Sex Female

Practice address 8235 Holly Rd, Suite 1, Grand Blanc, MI, 48439

Phone (810) 694-9700

Fax (810) 694-9940

Enumeration date Mar 6, 2007

Last updated in NPPES Apr 29, 2009

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 5101015223 (MI) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
114995665	Medicaid	MI	-
46149	Other	MI	HEALTH PLAN OF MICHIGAN
6U10108	Other	MI	HEALTH ALLIANCE PLAN
01007313	Other	MI	HEALTH PLUS
0252511984	Other	MI	BLUE CROSS
0252511984	Other	MI	BLUE CARE NETWORK
0N89830006	Other	MI	BLUE CROSS MEDICARE ADVAN
01007313	Other	MI	GENESEE HEALTH PLAN
382626202	Other	MI	AETNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1104956895 active?

Yes, as of the latest NPPES snapshot, NPI 1104956895 is active (record last updated 2009-04-29).

How do I verify Andrea Goethals's NPI record?

Cross-check NPI 1104956895 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

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Dianne Gregory Internal Medicine Physician · Grand Blanc, MI NPI 1497795462 Carl Gutekunst Surgery Physician · Grand Blanc, MI NPI 1821013855 Child and Adult Medicine of Grand Blanc Pediatrics Physician · Grand Blanc, MI NPI 1912052010 Surgical Associates, Plc Surgery Physician · Grand Blanc, MI NPI 1427197490 Ascension Medical Group-Surgical Associates LLC Surgery Physician · Grand Blanc, MI NPI 1023693389

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-04-29.