NPI age
9 years
Enumerated 2016-10-10
● Active
Type 1 · Individual
MR. Charles Michael Goedecke, LSA
Goedecke is 1 of 14 physician assistant providers in Pearland and 1 of 1890 in Texas.
Primary specialty
Physician Assistant
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2021-10-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1890 active physician assistant providers in Texas.
NPI age
9 years
↓ 2 yr below median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-10Enumerated in NPPES
2016
2026
Where they practice
Practice location
16100 Sh 288
Pearland, TX 77584
Mailing address
1103 Hayloft Ln
San Antonio, TX 782451456
Additional practice locations
1 secondary location on file with NPPES.
Location 2
5410 West Loop South, Memorial Hermann Orthopedic And Spine Hospital
Bellaire, TX 77401
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.