Aimee Goedecke, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

22267 Issued in SC

Practice address

1243 Savannah Hwy
Charleston, SC 29407-7817

Phone

(843) 556-8110

NPI assigned

Apr 14, 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

Interoperability endpoints

• Direct secure messaging: agoedecke1252717@direct.bsmhealth.org

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.

• Carolina Family Care, Inc

  dba MUSC Physicians PCP

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1184655722

  Pediatrics

  NPD (past)
• Parkwood Pediatric Group PA

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1659521201
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1972567998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077817",
            "telephone_number": "843-556-8110",
            "fax_number": "843-556-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077817",
            "telephone_number": "843-556-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEDECKE",
        "first_name": "AIMEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "22267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222672",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theron Cooper Godfrey II
• Erin Kelly Godin, APRN
• Annette G. Godow, PSY.D.
• Josselin Godoy Ponce
• Jenna Godoy
• Megan Smith Goettsches, LPC-A, ADC-IP
• Susan B Golanski, P.A.
• Ashley Golbus, MD
• Michael R Gold, MD
• Daniel Joseph Goldbach, D.O.

• Pediatrics Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.