Goddard Medical, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GODDARD MEDICAL, LLC

Practice address

11936 W 119TH St # 158
Overland Park, KS 66213-2216

Phone

(913) 735-9044

NPI assigned

Feb 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Maria Sheelene Goddard, MD

Title

Chief Executive Officer

Phone

(913) 735-9044

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23569/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1366033359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11936 W 119TH ST # 158",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132216",
            "telephone_number": "913-735-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11936 W 119TH ST # 158",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132216",
            "telephone_number": "913-735-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODDARD MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "SHEELENE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "913-735-9044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gloe
• Carrie Glover
• Gleb Gluhovsky, PA-C
• Janos Glynn, LPC
• Kimberlee C Gnoinski, PA-C
• Maria Sheelene Goddard, M.D.
• Cheyanne Rose Godwin
• Julee Goeser, LPN
• Samuel Goetschius, APRN
• Nanette E Goettsch, RPH

• General Practice Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• General Practice Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.