IndividualActive
Charles Goedecke, LSA
NPI 1306396759 · Surgical Physician Assistant · Pearland, TX
Provider details
- NPI number
- 1306396759
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- LSA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16100 Sh 288
Pearland, TX 77584
Phone: (210) 445-9456
Approximate (ZIP-level) locationGet directions
Mailing address
1103 Hayloft Ln
San Antonio, TX 78245-1456
Additional practice locations (1)
- 5410 West Loop SouthMemorial Hermann Orthopedic and Spine HospitalBellaire, TX 77401Phone: (210) 445-9456
Registry dates
- Enumerated
- 2016-10-10
- Last updated
- 2021-10-08
- Certified
- 2021-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.