Active NPI
Carlos a Godoy M D P C
- Cardiovascular Disease Physician
- Livonia, MI
National Provider Identifier
1912298902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- CG033015
- Legal business name
- CARLOS A GODOY M D P C
- Practice address
- 17920 Farmington Rd
Livonia, MI 48152-3104 - Phone
- (313) 909-1334
- NPI assigned
- Apr 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Owens
- Title
- Credentialing
- Phone
- (734) 459-7444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | CG033015 | MI | Primary |
Addresses
Primary practice location
17920 Farmington Rd
Livonia, MI 48152-3104
Mailing address
17920 Farmington Rd
Livonia, MI 48152-3104
National Provider Directory
National Provider DirectoryLocations
14151 Greenfield Rd
Detroit, MI 48227
Phone (313) 836-6660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1912298902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17920 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481523104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17920 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481523104",
"telephone_number": "313-909-1334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLOS A GODOY M D P C",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-25",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "734-459-7444"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "CG033015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.