CHRISTINA A GODWIN (NPI# 1932494630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932494630 |
Entity Type | Individual |
Full Name | CHRISTINA A GODWIN |
Other Name | CHRISTINA A OGLE |
Credential | MD |
Practice Address |
6025 Lake Rd Ste 200 Woodbury MN 55125-1710 |
Practice Telephone | 6519996800 |
Practice Fax Number | 6519996830 |
Mailing Telephone | 6519996800 |
Mailing Fax Number | 6519996830 |
Enumeration Date | 2011-06-10 |
Last Update Date | 2018-04-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208800000X | Urology | 55407 | MN | Allopathic & Osteopathic Physicians |
N | 208800000X | Urology | 04-40009 | KS | Allopathic & Osteopathic Physicians |
Y | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
55407 | MN | Allopathic & Osteopathic Physicians |
N | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
04-40009 | KS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 201162500A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629476874 | Christina Godwin | Physical Therapy Assistant | 16455 E Avenue of The Fountains, Fountain Hills, AZ 85268-8307 | 2014-12-19 |
1124234943 | Christina Marie Godwin | Pharmacist | 840 S Wood St, Chicago, IL 60612-4325 | 2007-05-16 |
Street Address |
6025 LAKE RD STE 200 |
City | WOODBURY |
State | MN |
Zip Code | 55125-1710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619956315 | Andrea M.t. Gerber | Nurse Practitioner | 6025 Lake Rd Ste 200, Woodbury, MN 55125 | 2006-01-11 |
1730720509 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2019-10-03 |
1982172755 | Andrea Combs | Physician Assistant | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2018-11-09 |
1114430089 | Minnesota Oncology Hematology, Pa | Internal Medicine | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2017-11-14 |
1841724291 | Michael Jenson | Physician Assistant | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2017-04-12 |
1902292733 | Jacquelyn Marie Gonka-griffo | Urology | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2015-04-08 |
1609294693 | Spencer Thomas Hart | Urology | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2014-04-07 |
1588924096 | Olga Povcher | Urology | 6025 Lake Rd Ste 200, Woodbury, MN 55125 | 2012-05-18 |
1558637454 | Christopher Sefein Atalla | Urology | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2012-03-26 |
1922207802 | Melanie Jean Most | Physician Assistant | 6025 Lake Rd Ste 200, Woodbury, MN 55125 | 2007-07-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
Find all providers in zip 55125 |
Taxonomy Code | 2088F0040X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
Specialization | Female Pelvic Medicine and Reconstructive Surgery |
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649447368 | Michael Joseph Ehlert | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2008-05-12 |
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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.