Allison Goddard, M.D., LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ALLISON GODDARD, M.D., LLC

Doing business as

Maine Direct Dermatology

Practice address

66 Leighton Rd # 2
Falmouth, ME 04105-2225

Phone

(207) 305-4196

Fax

(207) 360-4214

NPI assigned

Dec 11, 2023

Last updated

Dec 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allison Goddard, MDNPI 1043447915

Title

Founder

Phone

(816) 510-7068

Specialties & licenses 1

Addresses

Other names 1

• Maine Direct Dermatology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allison L Goddard, MD

  • Dermatology Physician
  • Falmouth, ME
  • NPI 1043447915
  NPD Authorized official

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1760259667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LEIGHTON RD # 2",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052225",
            "telephone_number": "207-305-4196",
            "fax_number": "207-360-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LEIGHTON RD # 2",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052225",
            "telephone_number": "207-305-4196",
            "fax_number": "207-360-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLISON GODDARD, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "816-510-7068",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maine Direct Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dermatology Physician in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Dermatology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.