Robert F. Godwin, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

17538 Issued in IA

Practice address

2322 E Kimberly Rd
Suite N100
Davenport, IA 52807-7205

Phone

(563) 355-3376

NPI assigned

Mar 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790813368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 E KIMBERLY RD",
            "address_2": "SUITE N100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528077205",
            "telephone_number": "563-355-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E KIMBERLY RD",
            "address_2": "SUITE N100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528077205",
            "telephone_number": "563-355-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "ROBERT",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "17538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090084",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian L Glaus, D.C.
• Carol D Gloar, D.C.
• Kimberly Glover
• Emily K Glynn, DPT
• Sinan Gocmen, D.C.
• Sarah Jayne Godwin, LMHC
• Goetz Chiropractic LLC (Peak Performance and Wellness)
• Gold Coast Chiropractic & Acupuncture Wellness Center, L.L.C.
• Margaret Ann Goldermann, RDN, LD, CLC
• Kallina Goldsby, PMHNP

• Dermatology Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.