Shea Godwin MD PSC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SHEA GODWIN MD PSC

Practice address

250 Main St
Suite E
Cadiz, KY 42211-9153

Phone

(270) 522-6963

Fax

(270) 522-7231

NPI assigned

May 31, 2008

Organization subpart

No

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

Authorized official

Name

Shea A Godwin, MD

Title

Owner

Phone

(270) 522-6963

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Godwin Family Practice Doing business as

Locations

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1881852317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MAIN ST",
            "address_2": "SUITE E",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119153",
            "telephone_number": "270-522-6963",
            "fax_number": "270-522-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAIN ST",
            "address_2": "SUITE E",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119153",
            "telephone_number": "270-522-6963",
            "fax_number": "270-522-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA GODWIN MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-31",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "SHEA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-522-6963",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1538257910",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE ORGANIZATION",
            "identifier": "1096567",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Godwin Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Allen Rushing
• Andrew C Rutherford, PA-C
• Save-on Drugs of Cadiz Inc
• Rebecca Ann Sexton, PT
• Shady Lawn Opco LLC
• Charlene Cox Sheehan, CCC/SLP
• Jennifer Rhea Shown, PHARMD
• Madison Simpson, PT, DPT
• Marsha Dawn Spain, OTR/L
• Shelby Paige Stevens, OTR/L, MSOT

• Primary Care Clinic/Center in Cadiz, KY
• Providers in Cadiz, KY by specialty
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.