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

Mr. Peter Vernon Goetchius, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1285610451

Mr. Peter Vernon Goetchius, PHYSICIANASSISTANT is a Medical Physician Assistant in Fort Drum, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005

Practice location Address checks out

11050 Mount Belvedere Blvd USA Meddac Attn: Credentials
Fort Drum, NY 13602-5438
Phone: (315) 772-4025
Fax: (315) 772-9498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 000219-0 (NY)

Record details

NPI number1285610451
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedDecember 20, 2005
Last updated in NPPESMay 20, 2008
Mailing address11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials, Fort Drum, NY 13602-5438

Other providers in Fort Drum