Mark J Godat MD PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MARK J GODAT MD PA

Practice address

12201 Merit Dr Ste 400
Dallas, TX 75251-3117

Phone

(469) 840-4888

Fax

(469) 840-4886

NPI assigned

Jan 14, 2025

Last updated

Jan 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jan Smith Godat

Title

Administration

Phone

(214) 893-8065

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11541/brand/5/csg/21/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Anne Kennedy, DO

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1275198988
  NPD
• Kelsey Master, PA-C

  • Medical Physician Assistant
  • Bentonville, AR
  • NPI 1821641051
  NPD
• Kylie Thai

  • Physician Assistant
  • Rowlett, TX
  • NPI 1487353645
  NPD (past)

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1316758998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7009 LAKE EDGE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302368",
            "telephone_number": "214-893-8065",
            "fax_number": "214-696-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513117",
            "telephone_number": "469-840-4888",
            "fax_number": "469-840-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J GODAT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "GODAT",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "214-893-8065"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBSTETRICS AND GYNECOLOGY",
            "identifier": "1275198988",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBSTETRICS AND GYNECOLOBY",
            "identifier": "1134281405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael L. Maris, M.D.
• Rachel Mariscal, FNP-C
• Marisol Vargas DDS PC
• Mark a Deuber MD PA
• Mark E. Segal M.D., P.a.
• Mark J Williams PH.D., PLLC
• Mark M Altenau MD PA
• Mark S Riaboy OD PC (Mark S Riaboy OD)
• Hayden McCann Mark, DC
• Mark's Pharmacy Incorporated (M & M Pharmacy)

• Obstetrics & Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.