Individual provider Active NPI

Sharon Anne Godar, MD, MPH

  • Occupational Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1720129489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
R1C88 Issued in MO
Practice address
11700 Studt Ave
Saint Louis, MO 63141-7031
Phone
(314) 989-9199
Fax
(314) 989-9491
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X R1C88 MO Primary

Addresses

Primary practice location

11700 Studt Ave
Saint Louis, MO 63141-7031

Mailing address

40 Baxter LN
Chesterfield, MO 63017-4900
Phone (636) 537-3750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20170104001274 MO Practitioner - Family Practice 5991086001 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1C88MOMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Services, LLC CurrentSince Nov 29, 2016 Accepting new patients
Mercy Health Services, LLC CurrentSince Nov 29, 2016 Accepting new patients
Mercy Health, Services, LLC Past Accepting new patients

Locations

11700 Studt Ave
Saint Louis, MO 63141
Phone (314) 989-1181

901 Patients First Dr
Ste 2600
Washington, MO 63090
Phone (636) 231-3651

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720129489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BAXTER LN",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174900",
            "telephone_number": "636-537-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 STUDT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417031",
            "telephone_number": "314-989-9199",
            "fax_number": "314-989-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODAR",
        "first_name": "SHARON",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MO",
            "license": "R1C88",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.