Individual provider Active NPI

Joanne Godley, MD

  • Gastroenterology Physician
  • Kahului, HI
National Provider Identifier
1508982828
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD026694-E Issued in PA
Practice address
39 W Kamehameha Ave
Suite B
Kahului, HI 96732-2263
Phone
(808) 877-2424
Fax
(808) 877-6464
NPI assigned
Mar 21, 2007
Last updated
Apr 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD026694-E PA Primary

Addresses

Primary practice location

39 W Kamehameha Ave
Suite B
Kahului, HI 96732-2263

Mailing address

39 W Kamehameha Ave
Suite B
Kahului, HI 96732-2263
Phone (808) 877-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD026694-EPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joanne Godley MD Inc Gastroenterology PastSince May 1, 2014 Accepting new patients
Blake Gastroenterology Associates, LLC Gastroenterology Past Accepting new patients
Mt. Airy Anesthesiology Associates, LLC Past Accepting new patients
Elizabeth E Mannick MD a Professional Corporation Gastroenterology PastSince Apr 25, 2016 Accepting new patients
River Oaks Management Company LLC Internal Medicine Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1508982828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 W KAMEHAMEHA AVE",
            "address_2": "SUITE B",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322263",
            "telephone_number": "808-877-2424",
            "fax_number": "808-877-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W KAMEHAMEHA AVE",
            "address_2": "SUITE B",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322263",
            "telephone_number": "808-877-2424",
            "fax_number": "808-877-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODLEY",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD026694-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.