Individual provider Active NPI

David W. Godin, CRNA

  • Certified Registered Nurse Anesthetist
  • Hubbardston, MA
National Provider Identifier
1730274093
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN147736 Issued in MA
Practice address
1 Prentiss Hill Rd
Hubbardston, MA 01452-1414
Phone
(978) 928-4825
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN147736 MA Primary

Addresses

Primary practice location

1 Prentiss Hill Rd
Hubbardston, MA 01452-1414

Mailing address

1 Prentiss Hill Rd
Hubbardston, MA 01452-1414

Other identifiers 1

IdentifierTypeStateIssuer
110106612AMedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060509000007 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901817725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Medical Circle of America PLLCGroup PAC ID 7911259718, 4 clinicians

Practice addresses (Care Compare)

1 Berkshire SQ
Suite 110
Adams, MA 01220-1341
Phone (413) 743-9934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Circle of America PLLC CurrentSince Aug 1, 2020 Accepting new patients
Cataract and Laser Center Associates PC PastSince Aug 1, 2020 Accepting new patients

Locations

1 Berkshire Sq
Ste 110
Adams, MA 01220
Phone (413) 743-9934

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23183/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1730274093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRENTISS HILL RD",
            "city": "HUBBARDSTON",
            "state": "MA",
            "postal_code": "014521414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRENTISS HILL RD",
            "city": "HUBBARDSTON",
            "state": "MA",
            "postal_code": "014521414",
            "telephone_number": "978-928-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODIN",
        "first_name": "DAVID",
        "middle_name": "W.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN147736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110106612A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hubbardston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.