NPIMap

Individual provider Active NPI

Patrick Godwin

  • Emergency Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1891029328
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R70199 Issued in AZ
Practice address
5045 E Oneida St
Phoenix, AZ 85044-3325
Phone
(480) 323-9716
NPI assigned
Sep 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R70199 AZ Primary

Addresses

Primary practice location

5045 E Oneida St
Phoenix, AZ 85044-3325

Mailing address

PO Box 10944
Tempe, AZ 85284-0016

Other identifiers 1

IdentifierTypeStateIssuer
R70199OtherAZARIZONA STATE MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000834 AZ Practitioner - Emergency Medicine 1355467382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
81.6
Improvement activities
40
Cost
77.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R70199AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-Arizona, PC Emergency Medicine CurrentSince Nov 2, 2020 Accepting new patients
Cep America- Arizona, PC Emergency Medicine Current Accepting new patients
Cep America - Arizona PC Emergency Medicine CurrentSince Nov 2, 2020 Accepting new patients
Progressive Medical Associates PLLC Emergency Medicine CurrentSince Jul 1, 2011 Accepting new patients
Valley Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Pinal County, PLLC Emergency Medicine Past Accepting new patients
Emurgent Care PLLC Past Accepting new patients
Az Corridor Emergency Physicians Emergency Medicine Past Accepting new patients
Emergency Physicians Professional Association LTD Emergency Medicine Past Accepting new patients
Ingenuity Medical Group LLC Emergency Medicine Past Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine Past Accepting new patients

Locations

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1660 S Alma School Rd
Ste 213
Mesa, AZ 85210
Phone (480) 345-3300

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Organizations & group practices 11

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": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1891029328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10944",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852840016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 E ONEIDA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443325",
            "telephone_number": "480-323-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-30",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "R70199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE MEDICAL BOARD",
            "identifier": "R70199",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.