Individual provider Active NPI

Michael Scott Godin, MD

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Richmond, VA
National Provider Identifier
1861422438
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
0101049892 Issued in VA
Practice address
410 Libbie Ave
Richmond, VA 23226-2616
Phone
(804) 285-8578
Fax
(804) 285-1870
NPI assigned
Jul 3, 2006
Sex
Male
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
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 0101049892 VA Primary

Addresses

Primary practice location

410 Libbie Ave
Richmond, VA 23226-2616

Mailing address

410 Libbie Ave
Richmond, VA 23226-2616
Phone (804) 285-8578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20100729000507 VA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 4688707524 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Oct 17, 2010 Accepting new patients

Locations

9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

401 N 12th St
Richmond, VA 23298
Phone (804) 628-6975

8700 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 323-2001

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861422438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LIBBIE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262616",
            "telephone_number": "804-285-8578",
            "fax_number": "804-285-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LIBBIE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262616",
            "telephone_number": "804-285-8578",
            "fax_number": "804-285-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODIN",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "VA",
            "license": "0101049892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.