CHRISTINA A GODWIN


Address: 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710
Phone: 6519996800

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
KS 201162500A 05

Other Providers CHRISTINA GODWIN

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

Office Location

Street Address 6025 LAKE RD STE 200
City WOODBURY
State MN
Zip Code 55125-1710

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2088F0040X
Grouping Allopathic & Osteopathic Physicians
Classification Urology
Specialization Female Pelvic Medicine and Reconstructive Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649447368 Michael Joseph Ehlert Urology 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 2008-05-12

Competitor

Search similar providers

City WOODBURY
Zip Code 55125

Improve Information

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Dataset Information

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.

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