Individual provider Active NPI

Lisa Christine Montgomery Godinsky, M.D.

  • Internal Medicine Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1104182120
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-125855 Issued in OH
Practice address
739 Graham Rd
Cuyahoga Falls, OH 44221-1056
Phone
(330) 344-8560
Fax
(330) 922-5405
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-125855 OH Primary

Addresses

Primary practice location

739 Graham Rd
Cuyahoga Falls, OH 44221-1056

Mailing address

739 Graham Rd
Cuyahoga Falls, OH 44221-1056
Phone (330) 344-8560

Other identifiers 4

IdentifierTypeStateIssuer
9338635OtherOHPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
0122756MedicaidOH
1841239274OtherOHPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
2551671OtherOHPARTNERS PHYSICIAN GROUP MEDICAID GROUP #

Other names 1

  • Ms. Lisa Christine Montgomery Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-125855OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Akron Internal Medicine Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Internal Medicine Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group PastSince Aug 1, 2015 Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients

Organizations & group practices 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1104182120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211056",
            "telephone_number": "330-344-8560",
            "fax_number": "330-922-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211056",
            "telephone_number": "330-344-8560",
            "fax_number": "330-922-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODINSKY",
        "first_name": "LISA",
        "middle_name": "CHRISTINE MONTGOMERY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-125855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICARE GROUP #",
            "identifier": "9338635",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122756",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICAID GROUP #",
            "identifier": "2551671",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MONTGOMERY",
            "middle_name": "CHRISTINE",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.