Elihu Lake Godshalk, MD

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

35.122029 Issued in OH

Practice address

58 E Hollister St
Cincinnati, OH 45219-1704

Phone

(513) 721-1737

NPI assigned

May 13, 2010

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1497073563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 VINE ST FL 7",
            "address_2": "CINCINNATI VA MEDICAL CENTER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202213",
            "telephone_number": "513-309-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 E HOLLISTER ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191704",
            "telephone_number": "513-721-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODSHALK",
        "first_name": "ELIHU",
        "middle_name": "LAKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "OH",
            "license": "35.122029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shandella Renee Godfrey, LPN
• Ana Vanessa Godines Jimenz, PA-C
• Tiffany Lynn Godlove, PT
• Alan Arnold Godofsky, MD
• Leslie Godsey
• Jessica Zaccagnini Godshalk, RD, LD
• James Matthew Godwin IV
• Tyann Godwin, RN
• Bridget Goebel
• Brittany Danielle Goebel, RN

• Addiction Psychiatry Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Addiction Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.