Provider Demographics
NPI:1427017698
Name:GOEBEL, STEVEN X (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:X
Last Name:GOEBEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2725 S 144TH ST STE 212
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-5253
Mailing Address - Country:US
Mailing Address - Phone:402-609-3000
Mailing Address - Fax:402-609-3808
Practice Address - Street 1:2725 S 144TH ST STE 212
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-5253
Practice Address - Country:US
Practice Address - Phone:402-609-3000
Practice Address - Fax:402-609-3808
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-34883207XX0005X, 207X00000X, 207X00000X
NE22219207XX0005X, 207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE04125OtherBCBSN
0900875OtherAMERICHOICE-ONE EDMUNDSON
IAP00006829OtherRAILROAD MEDICARE
IA2553891Medicaid
IA3553891Medicaid
NE10025238600Medicaid
IA5553891Medicaid
NE0900331OtherAMERICHOICE-4239 FARNAM
IA1553891Medicaid
NE200044184OtherRAILROAD MEDICARE
IA38688OtherWELLMARK-ONE EDMUNDSON
IA0553891Medicaid
IA33567OtherWELLMARK-SHENANDOAH
NE47602554420Medicaid
NE47602554412Medicaid
IA3553891Medicaid
NE04125OtherBCBSN