Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eric James Goddeyne, PA-C

Individual provider Surgical Physician Assistant · NPI 1386052777

Eric James Goddeyne, PA-C is a Physician Assistant in Green Bay, Wisconsin. Qualified in 2014, 12 years ago. Practices with Oconto Hospital and Medical Center Inc, a 217-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1726 Shawano Ave
Green Bay, WI 54303-3216
Phone: (920) 496-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3402-23 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3204-23 (WI)

Record details

NPI number1386052777
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 29, 2014
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Oconto Hospital And Medical Center Inc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Green Bay