Timothy Godek, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-04857 Issued in OH

Practice address

1640 Mentor Ave
Painesville, OH 44077-1707

Phone

(440) 639-9171

Fax

(440) 579-0119

NPI assigned

Jan 4, 2019

Last updated

Jan 4, 2019By 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

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness Lake County ChiropracticGroup PAC ID 4486954047, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wellness Lake County Chiropractic

  • Chiropractor
  • Painesville, OH
  • NPI 1093104465
  Medicare reassignment Care Compare group NPD
• Painesville Family Chiropractic Inc.

  • Nutrition Chiropractor
  • Painesville, OH
  • NPI 1205029808
  NPD

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1477026193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771707",
            "telephone_number": "440-639-9171",
            "fax_number": "440-579-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771707",
            "telephone_number": "440-639-9171",
            "fax_number": "440-579-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODEK",
        "first_name": "TIMOTHY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Gersin, FNP-C
• Joshua Gibas
• Scott Gill, D.C.
• Vesna Glavas
• Telina Gocher, LPN
• Rachelle Rose Godfrey, COTA/L
• Patricia Pauline Goecker, L.P.N.
• Barry Goldweber
• Rosalie Gonzalez-Frederick
• Melanie Ann Gorjup

• Chiropractor in Painesville, OH
• Providers in Painesville, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.