Shirley Y Godiwalla M.D,S.C

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

26973 Issued in WI

Legal business name

SHIRLEY Y GODIWALLA M.D,S.C

Practice address

10625 W North Ave
Suite 201
Wauwatosa, WI 53226-2315

Phone

(414) 727-1117

Fax

(414) 727-1118

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shirley Y Godiwalla, MDNPI 1518929611

Title

Owner

Phone

(262) 695-3050

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirley Y Godiwalla, MD

  • General Practice Physician
  • Pewaukee, WI
  • NPI 1518929611

  Urology

  NPD (past) Authorized official

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1760430698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W283N3671 YORKSHIRE TRCE",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723311",
            "telephone_number": "262-695-3050",
            "fax_number": "262-695-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 W NORTH AVE",
            "address_2": "SUITE 201",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262315",
            "telephone_number": "414-727-1117",
            "fax_number": "414-727-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY Y GODIWALLA M.D,S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "GODIWALLA",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-695-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "WI",
            "license": "26973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31392600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "340012140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Shay Hodel, P.T.
• Kathy Louise Shebesta, PT
• Sheila W. Sorkin, M.D. LLC
• Brenda J Sherman, C.AC.
• Christopher Jay Shickles, OT
• Yevgenia Shmelkova, D.O.
• Mohammad Shoiab, M.D.
• Jeffrey B. Shovers, M.D.
• Nancy Ellen Shumate, DDS
• Brooke S Siddell

• Urology Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Urology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.