Wayne Russell Godfrey, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

00044509 Issued in WA

Practice address

4927 NE Tolo Rd
Bainbridge Island, WA 98110-3467

Phone

(650) 521-2770

NPI assigned

Aug 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712448000000",
    "number": "1124334792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4927 NE TOLO RD",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103467",
            "telephone_number": "650-521-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4927 NE TOLO RD",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103467",
            "telephone_number": "650-521-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "WAYNE",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G68658",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "00044509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Geddes, ARNP
• Kellee Gibbons, MA, APPLYING LMHCA
• Jill Giblin
• William M Gibson, PHD PSYCHOLOGIST
• Lorraine Ann Glover, LICSW
• Kim Goerlitz, MS, LMFT
• Andrea Jeanne Goldman, ANDREA GOLDMAN L.M.P
• Adriana Luz Gonzalez-Medina, DPT
• Beth Ann Goodwin, HOMEOPATH
• Dorit Goodwin, LMP

• Hematology & Oncology Physician in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Hematology & Oncology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; 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.