William J Godfrey, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14455 Issued in KY

Practice address

914 N Dixie Ave
Ste 304
Elizabethtown, KY 42701-2520

Phone

(270) 769-1049

Fax

(270) 735-1978

NPI assigned

Nov 4, 2005

Last updated

Nov 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ekg PSC

  • Cardiovascular Disease Physician
  • Elizabethtown, KY
  • NPI 1205047818
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1316938566",
    "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": {
        "last_name": "GODFREY",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "14455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64144553",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandie Marie Gillispie
• Marcella Amanda Gleason, D.M.D.
• Robert Cleveland Gleason, DMD
• Christopher J Godfrey, MD
• John A Godfrey, MD
• Bridget Amber Godson, M.S. CCC-SLP
• Taresa Lynn Goldsmith
• Lacy Goldstein, PA-C
• Good Shepherd Institute of the Bluegrass
• Jason Edward Goodman, M.D,

• Internal Medicine Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.