Godwin Plastic Surgery Center LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

OS013816 Issued in PA

Legal business name

GODWIN PLASTIC SURGERY CENTER LLC

Practice address

240 Middletown Blvd
Suite 101D
Langhorne, PA 19047-1832

Phone

(215) 750-6010

NPI assigned

May 6, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth Allen Godwin, D.O.NPI 1760633150

Title

Plastic Surgeon

Phone

(215) 266-1012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth A Godwin, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Yardley, PA
  • NPI 1760633150
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1013327477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MIDDLETOWN BLVD",
            "address_2": "SUITE 101D",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471832",
            "telephone_number": "215-750-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MIDDLETOWN BLVD",
            "address_2": "SUITE 101D",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471832",
            "telephone_number": "215-750-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODWIN PLASTIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "215-266-1012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "OS013816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Knudsen Glassman, PA
• Gary Glassman, MD
• Stanley Glick, LCSW
• Global Fitness LLC
• Maxim Y Gluhovsky, M.D.
• Claire Marie Goetz, CRNP
• Shriya D Gohel, RBT
• Alexey Gokadze, MD
• Jonathan Gold, M.D.
• Kenneth L. Gold, PSY.D.

• Plastic and Reconstructive Surgery Physician in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Plastic and Reconstructive Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.