Mukund P Godbole (NPI# 1003996125, PAC ID# 1052362613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1003996125 |
| PAC ID by PECOS | 1052362613 |
| Professional Enrollment ID | I20081107000383 |
| Full Name | Mukund P Godbole |
| Organization Legal Name | JULIA RACKLEY PERRY MEMORIAL HOSPITAL |
| Address |
530 Park E Ave Princeton IL 61356-3901 |
| Phone Number | 8158764419 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1972 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1153312798 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141337 | PERRY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 530 Park E Ave, Princeton, IL 61356-3901 | 8158764419 | JULIA RACKLEY PERRY MEMORIAL HOSPITAL |
| Organization Legal Name | JULIA RACKLEY PERRY MEMORIAL HOSPITAL |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina M Mcdorman | Nurse Practitioner | Julia Rackley Perry Memorial Hospital | 327 Edward St, Henry, IL 61537-1539 |
| James M Matheu | Family Medicine | Julia Rackley Perry Memorial Hospital | 2128 N Main St, Princeton, IL 61356-9728 |
| Scott A Cooper | Emergency Medicine | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Timothy Allen Pratt | Family Medicine | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Ariel E Pozzi | Clinical Social Worker | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Amanda M Mcguire | Podiatry | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| John F Ibrahim | Internal Medicine | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Abby R Vladika | Nurse Practitioner | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Allen U Van | Orthopedic Surgery | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Arnold L Faber | Family Medicine | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Street Address |
530 PARK E AVE |
| City | PRINCETON |
| State | IL |
| Zip | 61356-3901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott A Cooper | Emergency Medicine | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Timothy Allen Pratt | Family Medicine | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Ariel E Pozzi | Clinical Social Worker | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Amanda M Mcguire | Podiatry | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| John F Ibrahim | Internal Medicine | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Abby R Vladika | Nurse Practitioner | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Allen U Van | Orthopedic Surgery | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Arnold L Faber | Family Medicine | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Christopher T Blanford | Family Medicine | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Truletta M Argubright | Nurse Practitioner | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara J Swalve Everett | Chiropractic | 222 N Main St, Princeton, IL 61356-1727 | |
| Richard C Everett | Chiropractic | 222 N Main St, Princeton, IL 61356-1727 | |
| Leslie E Lund | Chiropractic | 325 N Main St, Princeton, IL 61356-1728 | |
| Jarred A Farrell | Chiropractic | Dennis A Farrell Enterprises Ltd | 682 E Peru St, Princeton, IL 61356-1869 |
| Dennis A Farrell | Chiropractic | Dennis A Farrell Enterprises Ltd | 682 E Peru St, Princeton, IL 61356-1869 |
| Lori A Schultz | Chiropractic | Dennis A Farrell Enterprises Ltd | 682 E Peru St, Princeton, IL 61356-1869 |
| Jeffrey P Martin | Chiropractic | 516 S Pleasant St, Princeton, IL 61356-1953 | |
| Donald Ray Marion | Optometry | 2 Park Ave W, Princeton, IL 61356-2019 | |
| Robert Mark Adler | Chiropractic | 17 E Peru St, Princeton, IL 61356-2031 | |
| Lisa M Johnson | Clinical Social Worker | 28 E Marion St, Suite 25, Princeton, IL 61356-2093 | |
| Find all physicians in zip 61356 | |||
| City | PRINCETON |
| Zip Code | 61356 |
| Specialty | GENERAL SURGERY |
| City + Specialty | PRINCETON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Mukund P Godbole.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.