RICHARD P. GODDEAU D.O. NPI 1881745826

NPI Information

NPI: 1881745826
Provider Name: RICHARD P. GODDEAU, D.O.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
55 LAKE AVE N
DEPARTMENT OF NEUROLOGY
WORCESTER, MA
ZIP 01655
Phone: (508) 334-2527
Get Directions

Richard P. Goddeau, D.O. is a neurology psychiatry neurology in Worcester, MA with 20 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Richard P. Goddeau, D.O. NPI is 1881745826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduation Year:2004

The provider's business location address is:

55 LAKE AVE N
DEPARTMENT OF NEUROLOGY
WORCESTER, MA
ZIP 01655-002
Phone: (508) 334-2527
Fax: (508) 856-6778

The NPI 1881745826 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 12/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	14500	NEW HAMPSHIRE	No
2	2084V0102X	Psychiatry & Neurology	Vascular Neurology	238478	MASSACHUSETTS	No
3	2084N0400X	Psychiatry & Neurology	Neurology	238478	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1016718	MEDICAID	VERMONT
2	30227618	MEDICAID	NEW HAMPSHIRE
3	110093404A	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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