Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Charles Goddeyne, PA-C

Individual provider Surgical Physician Assistant · NPI 1518539907

Michael Charles Goddeyne, PA-C is a Physician Assistant in Milwaukee, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2021, 5 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2021
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

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone: (414) 489-4190
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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 5489 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5489-23 (WI)

Record details

NPI number1518539907
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 14, 2021
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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