Individual provider Active NPI

Allison L Goddard, MD

  • Dermatology Physician
  • Falmouth, ME
National Provider Identifier
1043447915
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
27373 Issued in ME
Practice address
66 Leighton Rd # 2
Falmouth, ME 04105-2225
Phone
(207) 305-4196
Fax
(207) 360-4214
NPI assigned
Jun 17, 2009
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036170500 IL
Dermatology Physician 207N00000X 24018 NH
Dermatology Physician 207N00000X 27373 ME Primary

Addresses

Primary practice location

66 Leighton Rd # 2
Falmouth, ME 04105-2225

Mailing address

66 Leighton Rd # 2
Falmouth, ME 04105-2225
Phone (207) 360-4214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.63 of 100Reported as group
Quality
84.27
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036170500ILMDDermatology Physician
27373MEMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Goddard, M.D., LLC Dermatology CurrentSince Dec 17, 2023 Accepting new patients

Locations

66 Leighton Rd
#2
Falmouth, ME 04105
Phone (207) 305-4196

Interoperability endpoints

  • Direct secure messaging: agoddard@nedermatology.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1043447915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LEIGHTON RD # 2",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052225",
            "telephone_number": "207-360-4214",
            "fax_number": "207-305-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LEIGHTON RD # 2",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052225",
            "telephone_number": "207-305-4196",
            "fax_number": "207-360-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "ALLISON",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036170500",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "24018",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ME",
            "license": "27373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

Verify at the official NPI Registry.