Boguslaw Godlewski, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

E4848 Issued in TX

Practice address

1330 Wonder World Dr
Ste B108
San Marcos, TX 78666-7566

Phone

(512) 396-5603

Fax

(512) 396-5623

NPI assigned

Aug 9, 2005

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 and National Provider Directory roles.

• Diagnostic Clinic of Houston

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1255304457
  NPD (past)
• Diagnostic Clinic of Houston Lab

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1528031481
  NPD (past)
• St Davids Heart & Vascular, PLLC

  • Cardiovascular Disease Physician
  • Austin, TX
  • NPI 1700887700
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1447251905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AUSTIN HEART PLLC",
            "address_2": "PO BOX 402669",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842669",
            "telephone_number": "512-206-4300",
            "fax_number": "512-206-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 WONDER WORLD DR",
            "address_2": "STE B108",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667566",
            "telephone_number": "512-396-5603",
            "fax_number": "512-396-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODLEWSKI",
        "first_name": "BOGUSLAW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E4848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025405-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Gilbertson, LPC
• Greg Gilcrease, D.D.S.
• Richard L Gillespie, D.C.
• Joelle Giron
• Lydia Ann Glisan, FNP
• Arrie Matthew Godwin, LPC
• Michael L Goebel, DC
• Janine Lee Goldstein, M.D.
• Anissa Victoria Gomez
• Kylie Gomez, PT, DPT

• Cardiovascular Disease Physician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.