JULIE GODDARD (NPI# 1700014875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700014875 |
| Entity Type | Individual |
| Full Name | JULIE GODDARD |
| Credential | MD |
| Practice Address |
12631 E 17th Ave Ms B205 Aurora CO 80045-2527 |
| Practice Telephone | 3037247500 |
| Practice Fax Number | 3037241961 |
| Mailing Telephone | 3037247500 |
| Mailing Fax Number | 3037241961 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2016-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 48042 | CO | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | A126233 | CA | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 35.098921 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02402084 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346736295 | Julie Goddard | Social Worker | 331 S Main St, Virginia, IL 62691-1571 | 2018-07-03 |
| Street Address |
12631 E 17TH AVE MS B205 |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780659573 | George A. Melone Jr. | Emergency Medicine | 12631 E 17th Ave, Aurora, CO 80045 | 2006-02-23 |
| 1053933762 | Jessie Chang Xiong | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, Aurora, CO 80045-2527 | 2020-05-15 |
| 1033739974 | Alyssa Rochelle Byrd | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, Aurora, CO 80045-2527 | 2020-04-21 |
| 1609495084 | Wayne Thompson | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, Aurora, CO 80045-2527 | 2020-04-15 |
| 1902425721 | Brian Minh Nguyen | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, Aurora, CO 80045-2527 | 2020-04-12 |
| 1982223988 | Erin Jeanelle Drake | Obstetrics & Gynecology | 12631 E 17th Ave, Aurora, CO 80045-2527 | 2020-04-10 |
| 1811516768 | Kathryn Frances Huber | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, Aurora, CO 80045-2527 | 2020-04-10 |
| 1699303859 | Brianna N Smalley | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, Aurora, CO 80045-2527 | 2020-03-31 |
| 1730717182 | Nell Toby Weber | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, Aurora, CO 80045-2527 | 2020-03-31 |
| 1053949206 | Visesh Israel Ravikumar | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, Aurora, CO 80045-2527 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811376593 | Lauren Sowa | Otolaryngology | 12631 E 17th Ave # Ms 205, Aurora, CO 80045-2527 | 2015-05-27 |
| 1447576343 | .brook Kim Mcconnell | Otolaryngology | 12631 E 17th Ave Ste B205, Aurora, CO 80045-2527 | 2010-04-16 |
| 1831193572 | Donald R Carter | Otolaryngology | 1400 S Potomac St Ste 240, Aurora, CO 80012-4541 | 2005-06-10 |
| 1245866706 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 1400 S Potomac St Ste 240, Aurora, CO 80012-4541 | 2020-03-17 |
| 1154957611 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 1501 S Potomac St, Aurora, CO 80012-5411 | 2020-03-17 |
| 1073149704 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 1300 S Potomac St Ste 122, Aurora, CO 80012-4526 | 2020-03-13 |
| 1497136097 | Matthew Gropler | Otolaryngology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-06-09 |
| 1972895845 | Ross Shockley | Otolaryngology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2011-05-10 |
| 1538485701 | Geoffrey Roger Ferril | Otolaryngology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2010-04-13 |
| 1124254602 | Corlyne Sue Mulder | Otolaryngology | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2009-06-10 |
| Find all providers in AURORA | ||||
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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.