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JOHN GORDON GODDARD MD NPI 1629008214


NPI Information

NPI: 1629008214
Provider Name: JOHN GORDON GODDARD, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1666 E BERT KOUNS INDUSTRIAL LOOP
SUITE 105
SHREVEPORT, LA
ZIP 71105
Phone: (318) 212-3750
Get Directions

John Gordon Goddard, MD is a family medicine in Shreveport, LA with 27 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. John Gordon Goddard, MD NPI is 1629008214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

1666 E BERT KOUNS INDUSTRIAL LOOP
SUITE 105
SHREVEPORT, LA
ZIP 71105-714
Phone: (318) 212-3750
Fax: (318) 212-3755

The NPI 1629008214 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.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Automated urinalysis test (HCPCS:81003)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 7/3/2006 and was last updated on 10/31/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine0101057937VIRGINIANo
2207Q00000XFamily Medicine15478RLOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14J376MEDICARE PINLOUISIANA
21466760MEDICAIDLOUISIANA
34J376C858MEDICARE UPINLOUISIANA
44J376C731MEDICARE PINLOUISIANA
5I25719MEDICARE UPINLOUISIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.