Active NPI
DRS Godfrey Godfrey & Eklund PSC
- Internal Medicine Physician
- Elizabethtown, KY
National Provider Identifier
1114918935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DRS GODFREY GODFREY & EKLUND PSC
- Practice address
- 914 N Dixie Ave
Ste 304
Elizabethtown, KY 42701-2520 - Phone
- (270) 769-1049
- Fax
- (270) 735-1978
- NPI assigned
- Nov 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna J Nadeau
- Title
- Office Manager
- Phone
- (270) 769-1049
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | KY | Primary | |
| Physician Assistant | 363A00000X | PA816 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3006944 | KY |
Addresses
Primary practice location
914 N Dixie Ave
Ste 304
Elizabethtown, KY 42701-2520
Mailing address
914 N Dixie Ave
Ste 304
Elizabethtown, KY 42701-2520
Phone (270) 769-1049
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Louisville, KY
- NPI 1225038086
-
- Family Nurse Practitioner
- Elizabethtown, KY
- NPI 1679867014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434412800000",
"number": "1114918935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 N DIXIE AVE",
"address_2": "STE 304",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012520",
"telephone_number": "270-769-1049",
"fax_number": "270-735-1978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 N DIXIE AVE",
"address_2": "STE 304",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012520",
"telephone_number": "270-769-1049",
"fax_number": "270-735-1978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS GODFREY GODFREY & EKLUND PSC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-01",
"last_updated": "2015-06-16",
"status": "A",
"authorized_official_last_name": "NADEAU",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "270-769-1049"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "KY",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA816",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3006944",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.