Mary Kathleen Carney Godley (NPI# 1811977804, PAC ID# 2860672664) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1811977804 |
| PAC ID by PECOS | 2860672664 |
| Professional Enrollment ID | I20110211000055 |
| Full Name | Mary Kathleen Carney Godley |
| Organization Legal Name | DERMATOLOGY PROFESSIONALS INC. |
| Address |
1672 S County Trl Suite 101 East Greenwich RI 02818-5099 |
| Phone Number | 4018857546 |
| Gender | F |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9234283953 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 | 4018857546 | DERMATOLOGY PROFESSIONALS INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 70% | |
| MIPS_EC_047_overall | Care Plan | 70% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 91% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 91% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 88% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 88% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 99% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 99% |
| Organization Legal Name | DERMATOLOGY PROFESSIONALS INC. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John B. Kelly Iii | Dermatology | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Nathaniel J Jellinek | Dermatology | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Brian R Theroux | Physician Assistant | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Lynn E Iler | Dermatology | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Alyssa B Findley | Dermatology | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Julia O Baltz | Dermatology | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Paula F Moskowitz | Dermatology | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Jeffrey Viveiros | Nurse Practitioner | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Allison A Burnap | Physician Assistant | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Patricia Schmidt | Nurse Practitioner | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Street Address |
1672 S COUNTY TRL SUITE 101 |
| City | EAST GREENWICH |
| State | RI |
| Zip | 02818-5099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John B. Kelly Iii | Dermatology | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Gina M Natalizia Huntoon | Nurse Practitioner | Women's Internal Medicine Inc. | 1672 S County Trl, Suite 303, East Greenwich, RI 02818-5099 |
| Nathaniel J Jellinek | Dermatology | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Brian R Theroux | Physician Assistant | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Lynn E Iler | Dermatology | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Alyssa B Findley | Dermatology | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Mariola Nowak | Internal Medicine | Women's Internal Medicine Inc. | 1672 S County Trl, Suite 303, East Greenwich, RI 02818-5099 |
| Andrea Mary Doyle | Plastic and Reconstructive Surgery | 1672 S County Trl, Suite 302, East Greenwich, RI 02818-5099 | |
| Kristin M Poshkus | Internal Medicine | Women's Internal Medicine Inc. | 1672 S County Trl, Suite 303, East Greenwich, RI 02818-5099 |
| Julia O Baltz | Dermatology | Dermatology Professionals Inc. | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5099 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Currier Jr. | Nurse Practitioner | Silver Spring Health Care Management, Inc | 3491 S County Trl, East Greenwich, RI 02818 |
| George S Sehl | Internal Medicine | 40 Chestnut Dr, East Greenwich, RI 02818-0150 | |
| Angela R Ciresi | Chiropractic | 3285 S County Trl, East Greenwich, RI 02818-1434 | |
| Olivia A Zebro | Chiropractic | Ciresi Chiropractic | 3285 S County Trl, East Greenwich, RI 02818-1434 |
| Meighan D Blanco | Nurse Practitioner | Robert K Dyer Md Dermatology LLC | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1463 |
| Aaron Weisbord | Cardiovascular Disease (cardiology) | Silver Spring Health Care Management Inc | 3461 S County Trl, Suite 103, East Greenwich, RI 02818-1463 |
| Lauren E Houle | Nurse Practitioner | Silver Spring Health Care Management Inc | 3461 S County Trl, Suite 201, East Greenwich, RI 02818-1463 |
| David J Broza | Cardiovascular Disease (cardiology) | Silver Spring Health Care Management Inc | 3461 S County Trl, Suite 103, East Greenwich, RI 02818-1463 |
| Brian George Kwetkowski | Family Medicine | 3461 S County Trl, Suite 303, East Greenwich, RI 02818-1463 | |
| Eric B Miller | Urology | Silver Spring Health Care Management Inc | 3461 S County Trl, Suite 201, East Greenwich, RI 02818-1463 |
| Find all physicians in zip 02818 | |||
| City | EAST GREENWICH |
| Zip Code | 02818 |
| Specialty | DERMATOLOGY |
| City + Specialty | EAST GREENWICH + DERMATOLOGY |
Please comment or provide details below to improve the information on Mary Kathleen Carney Godley.
| 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.