D John Godehn, Jr., M.D., P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

21561 Issued in NC

Legal business name

D JOHN GODEHN, JR., M.D., P.A.

Practice address

506 Park Hill CT
Suite 1
Hendersonville, NC 28739-4265

Phone

(828) 693-0275

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donald John Godehn Jr., M.D.

Title

President

Phone

(828) 693-0275

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1841316809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 PARK HILL CT",
            "address_2": "SUITE 1",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394265",
            "telephone_number": "828-693-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 PARK HILL CT",
            "address_2": "SUITE 1",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394265",
            "telephone_number": "828-693-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D JOHN GODEHN, JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "GODEHN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-693-0275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "21561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8936058",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Douglas James Danner, RN CNIM

• Dermatology Physician in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.