Jeanine Therese Godec, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10002279 Issued in WA

Practice address

1600 E Jefferson St
Ste 400
Seattle, WA 98122-5698

Phone

(206) 323-1900

Fax

(206) 323-6868

NPI assigned

Jun 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Orthopedics International LTD PS

  • Ambulatory Surgical Clinic/Center
  • Seattle, WA
  • NPI 1558417964
  NPD (past)
• Puget Sound Family Physicians

  • Family Medicine Physician
  • Edmonds, WA
  • NPI 1083643340
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1144262676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E JEFFERSON ST",
            "address_2": "STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225698",
            "telephone_number": "206-323-1900",
            "fax_number": "206-323-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E JEFFERSON ST",
            "address_2": "STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225698",
            "telephone_number": "206-323-1900",
            "fax_number": "206-323-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODEC",
        "first_name": "JEANINE",
        "middle_name": "THERESE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10002279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravina Banumati Goburdhun
• Tema Gochberg, ND
• Maria Gochez, RN,BSN
• Matthew Garrett Gockel, LICSW
• Erica Goddard, PHD
• Erling Fred Godejohn, BS, AAC, CDPT
• Claire Godenzi
• Daniel Godfrey
• Devin Leeson Godfrey, MD
• Emily M. Godfrey, M.D. M.P.H.

• Medical Physician Assistant in Seattle, WA
• Providers in Seattle, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.