Goddard One Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GODDARD ONE MEDICAL PLLC

Practice address

5831 Parkset Dr
Lithia, FL 33547-4892

Phone

(440) 313-7810

NPI assigned

Feb 14, 2018

Organization subpart

No

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

Authorized official

Name

Donald Goddard

Title

Owner

Phone

(440) 313-7810

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1316447618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 PARKSET DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 PARKSET DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474892",
            "telephone_number": "440-313-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODDARD ONE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-313-7810"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flabio Garcia
• Pamela Marlene Gerhard, PTA, LMT
• Daniella Faith Gillard
• Stephanie Gillette
• Jenna Glass
• James A Godin, PT
• Scott Eric Goldsmith, M.D.
• Stuart Alan Goldsmith, M.D.
• Jose Luis Gonzalez-Roman, APRN,FNP-C,PMHNP-BC
• Roberto Gonzalez, ATC

• Family Medicine Physician in Lithia, FL
• Providers in Lithia, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.