NPIMap

Individual provider Active NPI

Elizabeth Marquis Godin, MD

  • Emergency Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1780798207
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
48366 Issued in MN
Practice address
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone
(612) 672-6402
NPI assigned
Aug 19, 2006
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
Emergency Medicine Physician 207P00000X 48366 MN Primary

Addresses

Primary practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Mailing address

615 N 1St St
Apt 404
Minneapolis, MN 55401-1259

Other names 1

  • Elizabeth Anne Marquis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060503000431 MN Practitioner - Emergency Medicine 7214947340 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48366MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Welia Health CurrentSince Apr 15, 2023 Accepting new patients
Lake View Memorial Hospital, Inc Current Accepting new patients
Welia Health Current Accepting new patients
Fairview Health Services Current Accepting new patients
Welia Health CurrentSince Apr 15, 2023 Accepting new patients
Range Regional Health Services CurrentSince Jul 1, 2023 Accepting new patients
Fairview Health Services CurrentSince Jun 30, 2006 Accepting new patients
Range Regional Health Services CurrentSince Jul 1, 2023 Accepting new patients
Lake View Memorial Hospital, Inc. CurrentSince Dec 9, 2022 Accepting new patients
Lake View Clinic CurrentSince Dec 9, 2022 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520

Interoperability endpoints

  • Direct secure messaging: egodin39706@fairview.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Wisconsin, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Range Regional Health Services 349 clinicians

Practice addresses (Care Compare)

750 E 34TH St
Hibbing, MN 55746-4600
Phone (218) 262-4881

Hospital & facility affiliations

  • Welia Health Hospital, Mora, MN, CCN 241367
  • Range Regional Health Services Hospital, Hibbing, MN, CCN 240040
  • North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780798207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N 1ST ST",
            "address_2": "APT 404",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-672-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODIN",
        "first_name": "ELIZABETH",
        "middle_name": "MARQUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "48366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MARQUIS",
            "middle_name": "ANNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.