DR. MARK J. GODDARD (NPI# 1184653719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184653719 |
| Entity Type | Individual |
| Full Name | DR. MARK J. GODDARD |
| Credential | M.D. |
| Practice Address |
151 W Galbraith Rd Cincinnati OH 45216-1015 |
| Mailing Address |
Po Box 636256 Central Credentialing Cincinnati OH 45263-6256 |
| Practice Telephone | 5139482707 |
| Practice Fax Number | 5139482698 |
| Mailing Telephone | 5135855504 |
| Mailing Fax Number | 5135855511 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 35-053722 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100351670 | 05 | |
| KY | 64787427 | 05 | |
| OH | 0629743 | 05 | |
| ANTHEM | 000000012876 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487606323 | Mark Adam Goddard | Radiology | 2050 Oak Mountain Dr, Suite 7, Pelham, AL 35124-1368 | 2006-05-17 |
| 1366502692 | Mark Eric Goddard | Optometrist | 80 W Welsh Pool Rd, Suite 106, Exton, PA 19341-1233 | 2006-12-08 |
| 1124101621 | Mark Kimball Goddard | Internal Medicine | 5121 S. Cottonwood Street, Imc, Division of Pulmonary/ccm, Murray, UT 84107 | 2006-10-20 |
| Street Address |
151 W GALBRAITH RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45216-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558355487 | Daniel Drake Center for Post-acute Care, LLC | Internal Medicine | 151 W Galbraith Rd, Cincinnati, OH 45216-1015 | 2005-09-07 |
| 1598384075 | Charles Edward Bedel | Pharmacist | 151 W Galbraith Rd, Cincinnati, OH 45216-1015 | 2020-04-14 |
| 1962066183 | Rachael Polter | Clinical Neuropsychologist | 151 W Galbraith Rd, Cincinnati, OH 45216-1015 | 2019-04-23 |
| 1568928935 | Latonya Michelle North | Licensed Practical Nurse | 151 W Galbraith Rd, Cincinnati, OH 45216-1015 | 2019-02-11 |
| 1699292805 | Lea Elina Jordan | Registered Nurse | 151 W Galbraith Rd, Cincinnati, OH 45216-1015 | 2017-08-28 |
| 1134644438 | Ashley Lucius | Nurse Practitioner | 151 W Galbraith Rd, Cincinnati, OH 45216-1015 | 2017-08-08 |
| 1508285263 | Corey Keeton | Psychiatry & Neurology | 151 W Galbraith Rd, Cincinnati, OH 45216-1015 | 2014-04-09 |
| 1821343369 | Justin Lee Boone | Pharmacist | 151 W Galbraith Rd, Cincinnati, OH 45216-1015 | 2012-07-20 |
| 1629336110 | Holly Kay Asmussen Pajor | Physical Medicine & Rehabilitation | 151 W Galbraith Rd, Cincinnati, OH 45216-1015 | 2012-05-02 |
| 1558628081 | Graham Arthur Garrison | Psychiatry & Neurology | 151 W Galbraith Rd, Cincinnati, OH 45216-1015 | 2012-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568947950 | Adreannia Frazier | Licensed Practical Nurse | 1020 Elm Park Drive 2, Cincinnati, OH 45216 | 2018-10-01 |
| 1568991925 | Phadra M Gray | Registered Nurse | 6725 Lebanon St, Cincinnati, OH 45216 | 2017-06-08 |
| 1184079501 | Jessica Short | Community Health Worker | 8355 Burns Ave, Cincinnati, OH 45216 | 2016-05-04 |
| 1558768630 | Heather Kathleen Corwin | Psychologist | 400 Maple Street, Elmwood Place, OH 45216 | 2014-12-04 |
| 1932458668 | Denise Gabrielle Ditraglia | Licensed Practical Nurse | 151 West Gal Braith Rd, Drake Center/u.c. Health, Cincinnati, OH 45216 | 2012-09-10 |
| 1770847907 | Jeffery Murphy | Family Medicine | 24 Compton Rd Ste 205, Cincinnati, OH 45216 | 2012-07-03 |
| 1982978540 | Mary E Leemhuis | Physical Therapist | 151 West Galbraith Rd, Cincinnati, OH 45216 | 2012-02-29 |
| 1952601874 | Miller Holdings Takoda, Inc. | Intermediate Care Facility, Mentally Retarded | 8240 Monon Avenue, Cincinnati, OH 45216 | 2010-10-26 |
| 1386712958 | Mary Caroleen Arnold Long | Clinical Nurse Specialist | 15 W Galbraith Rd, Cincinnati, OH 45216 | 2006-12-01 |
| 1639183551 | David S Frimer | Family Medicine | 24 Compton Road, Suite 205, Cincinnati, OH 45216 | 2006-07-28 |
| Find all providers in zip 45216 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033729496 | Wellness Docs | Physical Medicine & Rehabilitation | 11123 Montgomery Rd Ste 105, Cincinnati, OH 45249-2390 | 2020-07-31 |
| 1417513193 | Active Life Health of Cincinnati LLC | Physical Medicine & Rehabilitation | 8251 Pine Rd Ste 205, Cincinnati, OH 45236-2191 | 2019-05-17 |
| 1093273062 | Michelle Miller | Physical Medicine & Rehabilitation | 1701 Llanfair Ave # Oh, Cincinnati, OH 45224-2972 | 2019-03-07 |
| 1710076617 | Judith M Wachendorf | Physical Medicine & Rehabilitation | 7201 English Dr, Cincinnati, OH 45244-3147 | 2006-10-11 |
| 1730145756 | D Scott Long | Physical Medicine & Rehabilitation | 2001 Anderson Ferry Rd, Cincinnati, OH 45238-3325 | 2006-04-26 |
| 1891768834 | Thomas Herrmann | Physical Medicine & Rehabilitation | 5260 Crookshank Rd, Cincinnati, OH 45238-3306 | 2006-02-09 |
| 1679546030 | Andrew Efkeman | Physical Medicine & Rehabilitation | 2475 W Galbraith Rd, Cincinnati, OH 45239-4368 | 2006-02-08 |
| 1619961984 | Ron M Koppenhoefer | Physical Medicine & Rehabilitation | 8333 Montgomery Rd, Cincinnati, OH 45236-2227 | 2005-09-01 |
| 1174520571 | Kathleen C Jurell | Physical Medicine & Rehabilitation | 8271 Cornell Rd, Suite 730, Cincinnati, OH 45249 | 2005-06-30 |
| 1053315747 | David J Kissel | Physical Medicine & Rehabilitation | 6200 Pfeiffer Rd, Fl 3, Cincinnati, OH 45242-5862 | 2005-06-09 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45216 |
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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.