Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark J Goedken, MD

Individual provider Family Medicine Physician · NPI 1386630663

Dr. Mark J Goedken, MD is a Family Practice in Cedar Rapids, Iowa. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
30
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
IA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1515 42nd St NE
Cedar Rapids, IA 52402-3061
Phone: (319) 365-7581
Fax: (319) 365-0163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 31916 (IA)

Record details

NPI number1386630663
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2005
Last updated in NPPESJune 23, 2022
Certification dateJune 21, 2022
Mailing address1515 42nd St Ne, Cedar Rapids, IA 52402-3061

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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