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

Individual provider Physician Assistant · NPI 1053824763

Eric M. Goddard, PA-C is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2017, 9 years ago. Practices with Hospitalist Physicians of Indiana PC, a 150-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
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

7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 434-6322
Fax: (260) 434-6481
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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 10002367A (IN)

Record details

NPI number1053824763
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 16, 2017
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing address6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hospitalist Physicians Of Indiana Pc — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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