David Michael Godfrey, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

35.095862 Issued in OH

Practice address

2212 Mifflin Ave
Suite 220
Ashland, OH 44805-8848

Phone

(419) 207-2663

Fax

(419) 289-4631

NPI assigned

May 9, 2008

Sex

Male

Sole proprietor

No

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Indiana University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union Physician Services LLCGroup PAC ID 0143366591, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Home Care Home health agency, Independence, OH, CCN 367142
• Union Hospital Hospital, Dover, OH, CCN 360010
• Mercy Medical Center Hospital, Canton, OH, CCN 360070

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Union Physician Services, LLC

  • Family Medicine Physician
  • Dover, OH
  • NPI 1215169826

  OH

  Medicare reassignment Care Compare group NPD
• Medcentral Professional Association Inc.

  • Anesthesiology Physician
  • Mansfield, OH
  • NPI 1306878863
  NPD (past)

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

• Cleveland Clinic Foundation Cleveland Clinic Home Care

  • Home Health Agency
  • Independence, OH
  • NPI 1225009442
  Care Compare affiliation
• Cleveland Clinic Mercy Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195

  Hospital

  Care Compare affiliation
• The Union Hospital Association

  • Rural Acute Care Hospital
  • Dover, OH
  • NPI 1871606921

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1790952604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 MIFFLIN AVE",
            "address_2": "SUITE 220",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448058848",
            "telephone_number": "419-207-2663",
            "fax_number": "419-289-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 MIFFLIN AVE",
            "address_2": "SUITE 220",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448058848",
            "telephone_number": "419-207-2663",
            "fax_number": "419-289-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OH",
            "license": "35.095862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3082748",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aliva Gilbert, APRN, CNP-BC
• Debora F Gilson, LSW
• Karl Frederick Gingrich II, DVM
• Angela Maria Giorlando, CDST
• Yvette Givand, MSW, LISW
• Nathalie Golab
• Melvin Gonzalez
• Good Shepherd Operator LLC
• Teri L Gourley, D.O.
• Rebecca Danielle Granger, FNP-C

• All providers in Ashland, OH
• Sports Medicine (Orthopaedic Surgery) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.