Organization Active NPI

Stephen E Godar MD PC

  • Internal Medicine Physician
  • Fort Morgan, CO
National Provider Identifier
1043356892
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34790 Issued in CO
Legal business name
STEPHEN E GODAR MD PC
Practice address
231 Prospect St
Suite a
Fort Morgan, CO 80701-3161
Phone
(970) 867-4911
NPI assigned
Jan 29, 2007
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Mrs. Shelley Harper
Title
Office Administrator
Phone
(970) 867-4911

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 34790 CO Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 34790 CO

Addresses

Primary practice location

231 Prospect St
Suite a
Fort Morgan, CO 80701-3161

Mailing address

PO Box 905
Fort Morgan, CO 80701-0905
Phone (970) 867-4911

Other identifiers 1

IdentifierTypeStateIssuer
95609521MedicaidCO

National Provider Directory

National Provider Directory

Locations

231 Prospect St
Ste A
Fort Morgan, CO 80701
Phone (970) 542-0221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1043356892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807010905",
            "telephone_number": "970-867-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 PROSPECT ST",
            "address_2": "SUITE A",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013161",
            "telephone_number": "970-867-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN E GODAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "970-867-4911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "34790",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "34790",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95609521",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.