Organization · Type 2 NPI

Goshen Health System, Inc

Urology Physician · Goshen, IN

NPI number 1003657503 Active

Practice location

1808 Charlton Ct
Goshen, IN 46526-6463

Call (574) 533-8540 Map

Fax (574) 534-5722

Mailing address

PO Box 834
Goshen, IN 46527-0834

Specialties and licenses

Taxonomy	Code	License
Urology Physician Primary	208800000X	None listed
Nurse Practitioner	363L00000X	None listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

5 other providers at this address

Other urology physician providers in Goshen

Jeffrey P. Bolduan, M.d. IncUrology Physician Goshen, IN NPI 1538320577

See all in Goshen →

NPI record

NPI: 1003657503
Entity type: Organization (Type 2)
Issued: Jun 6, 2024
Last updated: Mar 3, 2025
Status: Active

Other names

<unavail>
Goshen Physicians · doing business as
Goshen Physicians Urology · doing business as
Goshen Physicians Urology · doing business as

Authorized official

Jonathan J Yoder
VP
(574) 364-2560

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003657503

Goshen Health System, Inc's National Provider Identifier is 1003657503, issued on Jun 6, 2024. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Goshen, IN. The record was last updated on Mar 3, 2025.