JACEY E GODDARD DO NPI 1073569216

NPI Information

  • NPI: 1073569216
  • Provider Name: JACEY E GODDARD, DO
  • Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 491 US ROUTE 1
    FREEPORT, ME
    ZIP 04032
  • Phone: (207) 865-6655

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NPI Details

Jacey E Goddard, DO is a neuromusculoskeletal medicine omm in Freeport, ME with 25 years of experience. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. Jacey E Goddard, DO NPI is 1073569216. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2001

The provider's business location address is:

491 US ROUTE 1
FREEPORT, ME
ZIP 04032-021
Phone: (207) 865-6655
Fax: (207) 865-6653

The NPI 1073569216 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Osteopathic manipulative treatment, 7-8 body regions (HCPCS:98928)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 5/26/2006 and was last updated on 5/3/2016.

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
1207Q00000XFamily Medicine1766MAINENo
2204D00000XNeuromusculoskeletal Medicine & OMM1766MAINEYes

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 Other Provider Identifier Issuer
1ME069802MEDICARE PINMAINE
2I10578MEDICARE UPINMAINE
3P01039081MEDICARE PINMAINE
4ME0698MEDICARE ID-TYPE UNSPECIFIEDMAINE
5ME069803MEDICARE PINMAINE

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: 11/21/2025

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