JOHN GODFREY (NPI# 1770704850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770704850 |
| Entity Type | Individual |
| Full Name | JOHN GODFREY |
| Credential | D.O. |
| Practice Address |
1 Medical Center Blvd Prof. Office Bldg 1 Suite 400 Upland PA 19013 |
| Mailing Address |
207 N Broad St Fl 3 Philadelphia PA 19107-1500 |
| Practice Telephone | 6108762400 |
| Practice Fax Number | 6108764308 |
| Mailing Telephone | 6108762400 |
| Mailing Fax Number | 2154633820 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 25MB07805800 | NJ | Other Service Providers |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
OS012390 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102104615 0002 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 Lawrence Rd Ste 800, Broomall, PA 190083301 | 6108487000 | 6103252016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700167806 | John Glen Godfrey | Pharmacist | 15986 State Route 56, Laurelville, OH 43135 | 2011-09-01 |
| 1548559438 | John Dahl Godfrey | Physical Therapy Assistant | 6049 N 1st St Ste 101, Fresno, CA 93710-5449 | 2011-03-31 |
| 1154477396 | John C Godfrey | Chiropractor | 509 S 4th Ave, Brighton, CO 80601-3102 | 2007-01-27 |
| 1023029170 | John Phillip Godfrey | Psychologist | 3305 Northland Dr Ste 509, Austin, TX 78731-5039 | 2006-08-11 |
| 1053826644 | John Christopher Godfrey | Behavior Technician | 16941 N Eagle River Loop Rd, Eagle River, AK 99577-7824 | 2017-12-05 |
| 1821224353 | John Godfrey | Counselor | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2009-06-10 |
| 1457506149 | John Joseph Godfrey | Acupuncturist | 2720 Nw 6th St, Suite 301, Gainesville, FL 32609-2994 | 2008-11-21 |
| 1255581971 | John Edger Godfrey | Case Manager/Care Coordinator | 5905 Forest Pl, Suite 100, Little Rock, AR 72207-5244 | 2008-09-30 |
| 1447316385 | John A Godfrey | Optometrist | 804 Broad Ripple Ave, Indianapolis, IN 46220-1961 | 2006-12-28 |
| 1992876262 | John Terry Godfrey | Chiropractor | 1146 N Cass St, Ste C, Wabash, IN 46992-1082 | 2006-11-10 |
| Street Address |
1 MEDICAL CENTER BLVD PROF. OFFICE BLDG 1 SUITE 400 |
| City | UPLAND |
| State | PA |
| Zip Code | 19013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275048050 | Erica Blair Dodge | Specialist/Technologist | 1 Medical Center Blvd, Ccmc, Pob II, Suite 324, Upland, PA 19013 | 2017-12-03 |
| 1114455300 | Janisha Patel | Pediatrics | 1 Medical Center Blvd, Crozer Pediatrics, Pob 1, Suite 205, Upland, PA 19013 | 2017-06-01 |
| 1851829295 | Ravi Piryani | Pediatrics | 1 Medical Center Blvd, Crozer Pediatrics, Pob 1, Suite 205, Upland, PA 19013 | 2017-05-30 |
| 1487182820 | Amelie Bottex | Pediatrics | 1 Medical Center Blvd, Crozer Pediatrics, Pob 1, Suite 205, Upland, PA 19013 | 2017-05-30 |
| 1760910103 | Shruti Suresh Patel | Pediatrics | 1 Medical Center Blvd, Crozer Pediatrics, Pob 1, Suite 402, Upland, PA 19013 | 2017-05-30 |
| 1366749418 | Christina Davidyock | Nurse Practitioner | 1 Medical Center Blvd, Upland, PA 19013 | 2011-02-24 |
| 1922330737 | Julia Elizabeth Knaus Godfrey | Physician Assistant | 1 Medical Center Blvd, Emergency Department, Upland, PA 19013 | 2010-02-03 |
| 1710144506 | Monica Patel Zeitz | Internal Medicine | 1 Medical Center Blvd, Acp #231, Upland, PA 19013-3902 | 2008-05-20 |
| 1013125418 | Crozer Adult Day Centers - As | Respite Care | 1 Medical Center Blvd, Silberman Center, Upland, PA 19013-3902 | 2007-05-18 |
| 1295870749 | Kelly L Ecker | Pediatrics | 1 Medical Center Blvd, Division of Neonatology, Upland, PA 19013-3902 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| 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 |
|---|---|---|---|---|
| 1376905406 | Prohealth Partners A Medical Group Inc | Internal Medicine | 685 N 13th Ave Ste 7, Upland, CA 91786-4963 | 2016-03-28 |
| 1891929287 | Shadi A. Qasqas Md, Inc. | Internal Medicine | 1646 N Palm Ave, Upland, CA 91784-1922 | 2009-05-13 |
| 1902091663 | Sandeep K Sharma | Internal Medicine | 1 Medical Center Blvd Ste 400, Bldg 1, Upland, PA 19013 | 2007-09-06 |
| 1932264850 | Baidyanath Prasad | Internal Medicine | 1508 Grandview St, Upland, CA 91784-8622 | 2006-12-22 |
| 1942261904 | Roger Dennis Duber | Internal Medicine | 685 N 13th Ave, Ste 9, Upland, CA 91786 | 2006-03-30 |
| 1427024439 | Ancil Jones | Internal Medicine | 1 Medical Center Blvd - Bldg 1, Ste 400, Upland, PA 19013 | 2006-02-28 |
| 1265405823 | David Kleinman | Internal Medicine | 1 Medical Center Blvd - Bldg 1 Ste 400, Upland, PA 19013 | 2006-02-13 |
| 1558334151 | Rose M Lee | Internal Medicine | 1 Medical Center Blvd - Bldg 2 Ste 224, Upland, PA 19013 | 2006-02-13 |
| 1194715193 | Byung Don Ahn | Internal Medicine | 1382 E Foothill Blvd, Upland, CA 91786-4014 | 2005-10-21 |
| 1932101888 | Michael Adesman | Internal Medicine | 1 Medical Center Boulevard, Building #1 Suite 400, Upland, PA 19013 | 2005-08-11 |
| Find all providers in UPLAND | ||||
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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.