Jodi A. Goldsberry, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28187 Issued in SC

Practice address

1215 Duff Ave
Ames, IA 50010-5400

Phone

(515) 239-4431

Fax

(515) 239-4742

NPI assigned

Oct 11, 2006

Last updated

Aug 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1821186925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVE",
            "address_2": "PO BOX 3014",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105400",
            "telephone_number": "515-239-4431",
            "fax_number": "515-239-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105400",
            "telephone_number": "515-239-4431",
            "fax_number": "515-239-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSBERRY",
        "first_name": "JODI",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "28187",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "39260",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "P00648640",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC ID-RSFPN",
            "identifier": "P00754368",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281876",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Patricia Goebel, RPH
• Shobhadarshini Gogoi, M.D.
• James Dennis Gohman, M.D.
• Ava Golchin, M.D.
• Nima Ahmad Golchin, M.D.
• Bailey Gonzales
• Adrian Marcelo Gonzalez Gil, M.D.
• Carlos Gonzalez
• Donald Good, DDS
• Lashelle Jean Goode, ARNP

• Internal Medicine Physician in Ames, IA
• Providers in Ames, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.