Heather Rose Godale, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35-086005 Issued in OH

Practice address

819 N 1St St
Dennison, OH 44621-1003

Phone

(740) 922-2800

Fax

(740) 922-6945

NPI assigned

Jun 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Emergency Medicine Physicians of Medina County, LTD

  • Emergency Medicine Physician
  • Lodi, OH
  • NPI 1457390312
  NPD (past)
• Emergency Medicine Physicians of Stark County, LTD

  • Emergency Medicine Physician
  • Massillon, OH
  • NPI 1902846371
  NPD (past)
• Emergency Medicine Physicians of Wadsworth, LTD.

  • Emergency Medicine Physician
  • Wadsworth, OH
  • NPI 1184663114
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932135191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 MALVERN RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031737",
            "telephone_number": "330-867-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N 1ST ST",
            "city": "DENNISON",
            "state": "OH",
            "postal_code": "446211003",
            "telephone_number": "740-922-2800",
            "fax_number": "740-922-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODALE",
        "first_name": "HEATHER",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-086005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2588105",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chasta Danielle Fender
• Natalie C Fockler, B.A, M.S.
• Foot and Ankle Institute, Inc
• Charlene Ann Gardner, L.S.W.
• Holly L Gibbs, CNP
• Jacqueline Hall, CLINICAL DIETICIAN
• Harcatus Tri-County C.a.O. Inc.
• Andrew Huff
• Miranda Huffman, CPNP
• Michael Jakubowski, D.C.

• Emergency Medicine Physician in Dennison, OH
• Providers in Dennison, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.