ROBERT W GODLEY II (NPI# 1124381751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124381751 |
| Entity Type | Individual |
| Full Name | ROBERT W GODLEY II |
| Credential | MD |
| Practice Address |
Community Physicians of Indiana, Inc. 1402 E. County Line Rad Indianapolis IN 46227-0963 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3178877880 |
| Practice Fax Number | 3178877886 |
| Mailing Telephone | 3176217588 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01081921A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | BP10052864 | TX | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301100740 | MI | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | P02559041 | 01 |
| IN | 300026003 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6720 Bertner Ave # Mc1-133, Houston, TX 770302604 | 2604337229 | |
| 1130 Ew. Jefferson Street, Ste. D, Franklin, IN 461312760 | 3177367651 | 3177367337 |
| Community Physicians of Indiana, Inc., 1402 E. County Line Rad, Indianapolis, IN 462270963 | 3178877880 | 3178877886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982822482 | Robert Michael Godley | Psychologist | 1600 Route 22, Brewster, NY 10509-4014 | 2007-04-23 |
| 1710989124 | Robert W Godley | Internal Medicine | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2005-08-15 |
| Street Address |
COMMUNITY PHYSICIANS OF INDIANA, INC. 1402 E. COUNTY LINE RAD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-0963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154550143 | Vitality Health Group | Internal Medicine | 1702 W Michigan St, Indianapolis, IN 46222-3983 | 2009-07-10 |
| 1689860819 | Mohammad M Marashdeh | Internal Medicine | 1400 N Ritter Ave Ste 520, Indianapolis, IN 46219-3052 | 2007-09-20 |
| 1346448305 | Mark Daniel Fisch | Internal Medicine | 1801 N Senate Boulevard, Suite 310, Indianapolis, IN 46202-1196 | 2007-07-10 |
| 1669550588 | Heart Partners of Indiana LLC | Internal Medicine | 8075 N Shadeland, #350, Indianapolis, IN 46250 | 2006-11-01 |
| 1821186933 | Bertram Anthony Graves | Internal Medicine | 3737 N. Meridian St., Suite 104, Indianapolis, IN 46208-4357 | 2006-10-11 |
| 1902860752 | Douglas P Zipes | Internal Medicine | 1801 N Capitol Ave, Indianapolis, IN 46202-1217 | 2006-04-17 |
| 1275532525 | Richard Hahn | Internal Medicine | 1207 Selkirk Ln, Indianapolis, IN 46260-1227 | 2005-07-19 |
| 1487651329 | Louis F. Janeira | Internal Medicine | 5330 E Stop 11 Rd, Indianapolis, IN 46237-6345 | 2005-07-07 |
| 1922560465 | Cind Care of In, LLC | Internal Medicine | 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 | 2019-04-03 |
| 1417212606 | Yaron Moshe Hellman | Internal Medicine | 1800 N Capitol Ave, E371, Indianapolis, IN 46202-1218 | 2012-07-12 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.