ROBERT GODEFROI (NPI# 1669460994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669460994 |
| Entity Type | Individual |
| Full Name | ROBERT GODEFROI |
| Credential | M.D. |
| Practice Address |
500 Merrimack St Lawrence MA 01843-1756 |
| Practice Telephone | 9785578870 |
| Practice Fax Number | 9785578856 |
| Mailing Telephone | 9785578870 |
| Mailing Fax Number | 9785578856 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2012-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
54774 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NEIGHBORHOOD HEALTH PLAN | 0042049 | 01 |
| MA | NETWORK HEALTH | 974547 | 01 |
| NH | NH MEDICAID | 30201344 | 01 |
| MA | TUFTS | 726397 | 01 |
| MA | BLUE CROSS BLUE SHIELD | J04702 | 01 |
| MA | RR MEDICARE | P00449913 | 01 |
| HEALTHSOURCE | 424231 | 01 | |
| MA | AETNANON HMO | 4572103 | 01 |
| MA | 110066074A | 05 | |
| MA | AETNA HMO | 1669460994 | 01 |
| MA | FALLON COMMUNITY HEALTH PLAN | 1669460994 | 01 |
| CIGNA | 35256597 | 01 | |
| MA | HARVARD PILGRIM HEALTHCAR | 808997 | 01 |
| MA | 6197213 | 05 |
| Street Address |
500 MERRIMACK ST |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01843-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932103298 | Bruce E. Birkby | Allergy & Immunology | 500 Merrimack St, Riverwalk, Lawrence, MA 01843-1756 | 2005-06-02 |
| 1881126043 | Eileen Bernau | Nurse Practitioner | 500 Merrimack St, Lawrence, MA 01843-1756 | 2017-03-28 |
| 1477091577 | Rozalia Marta Perroni | Registered Nurse | 500 Merrimack St, Lawrence, MA 01843-1981 | 2017-02-08 |
| 1548704828 | Maria Dalomba | Nurse Practitioner | 500 Merrimack St, Lawrence, MA 01843-1756 | 2016-12-06 |
| 1639623895 | Shannon Arciero | Nurse Practitioner | 500 Merrimack St, Lawrence, MA 01843-1756 | 2016-08-05 |
| 1730568866 | Rohit Dixit | Internal Medicine | 500 Merrimack St, Lawrence, MA 01843-1756 | 2015-05-21 |
| 1356746556 | Jennifer Dailey | Nurse Practitioner | 500 Merrimack St, Lawrence, MA 01843-1756 | 2014-10-30 |
| 1326442906 | Tiffany Clapp | Nurse Practitioner | 500 Merrimack St, Lawrence, MA 01843-1756 | 2014-10-10 |
| 1801205752 | Kruti Parikh | Internal Medicine | 500 Merrimack St, Lawrence, MA 01843-1981 | 2014-08-05 |
| 1841614104 | Diane Elizabeth Hazel | Registered Nurse | 500 Merrimack St, Lawrence, MA 01843-1981 | 2014-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466703 | Jean A Schrow | Student in an Organized Health Care Education/Training Program | 350 Merrimack Street Bldg 5, Lawrence, MA 01843 | 2020-01-23 |
| 1053959049 | Carolyn O'connor | Occupational Therapist | 439 S. Union St, Bldg. 1, Ste. 110, Lawrence, MA 01843 | 2019-12-20 |
| 1578120754 | My Dental Lawrence Pllc | Clinic/Center | My Dental Lawrence Pllc, 465 South Broadway, Lawrence, MA 01843 | 2019-05-23 |
| 1336600071 | Michelle Ann Guillette | Counselor | 360 Merrimack St Bldg. 9, Entrance H, Lawrence, MA 01843 | 2019-03-26 |
| 1629540158 | Kathleen D Coale | Physical Therapist | Heritage Place, Building 1, Suite 101, 439 South Union Street, Lawrence, MA 01843 | 2018-12-21 |
| 1306334933 | Jannice Mari Adorno | Community/Behavioral Health | 34 Farnham Street, Lawrence, MA 01843 | 2018-04-30 |
| 1710489935 | Maureen Lyn Deangelis | Social Worker | Robert Frost Elementary School, 33 Hamlet Street, Lawrence, MA 01843 | 2018-03-03 |
| 1215448733 | Henry Joseph De Lima | Social Worker | 360 Merrimack Street, Bldg 9, 3rd Floor, Lawernce, MA 01843 | 2017-10-24 |
| 1710404090 | Awilda M Pimentel | Counselor | 111 River Pointe Way, Lawrence, MA 01843 | 2017-08-28 |
| 1215454772 | Yu Yu Chen | Counselor | 439 S.union St, Suite 116, Lawrence, MA 01843 | 2017-08-25 |
| Find all providers in zip 01843 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679058820 | Healthstat Onsite Clinic Amarr | Preventive Medicine | 3800 Greenway Cir, Lawrence, KS 66046-5443 | 2018-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437494473 | Healthstat On-site Clinic/varian- Newburyport | Preventive Medicine | 4 Stanley Tucker Dr, Newburyport, MA 01950-4039 | 2012-12-03 |
| 1780934349 | Healthstat Arkansas/pace Ind.- Cambridge | Preventive Medicine | 67 Faulkner St., North Billerica, MA 01862 | 2012-09-11 |
| 1033315114 | Manijeh Berenji | Preventive Medicine | 725 Albany St Ste 4b, Boston, MA 02118-3549 | 2007-06-25 |
| 1164630471 | James Robert Garb | Preventive Medicine | 11 Kingsbury Way, Yarmouth Port, MA 02675-1227 | 2007-05-18 |
| 1326162447 | Paul Anthony Keefe | Preventive Medicine | 29 Eaton Rd, Needham, MA 02492-3303 | 2007-03-16 |
| 1194894154 | Michael Erdil | Preventive Medicine | 5 Mount Royal Ave Ste 50, Marlborough, MA 01752-1921 | 2006-11-06 |
| 1497749618 | Sven Knudsen Ljaamo | Preventive Medicine | 200 Springs Rd, Edith Nourse Rodgers Memorial Va Hospital, Bedford, MA 01730-1114 | 2005-09-02 |
| 1073090692 | Greater Boston Wellness Primary Care PC | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2018-07-26 |
| 1942756192 | Patthrarawalai Phichalai | Preventive Medicine | 5 Middlesex Ave., Cambridge Health Alliance, Occupational Medicine Clinic, Somerville, MA 02145-1677 | 2016-08-28 |
| 1235514795 | Greater Boston Wellness Physicians | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2015-07-27 |
| Find all providers with the same taxonomy | ||||
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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.