| Dr Charles Michael Goddard Ii, MD | |
|
7275 Sawmill Road, Northwest Pediatrics, Inc., Dublin, OH 43016 | |
| (614) 766-6321 | |
| (614) 766-0193 |
| Full Name | Dr Charles Michael Goddard Ii |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 7275 Sawmill Road, Dublin, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154483089 | NPI | - | NPPES |
| 11293017 | Other | MI | CAQH PROVIDER ID |
| 328339 | Medicaid | MI | |
| 69707 | Other | OH | OH LICENSE |
| 059637 | Other | MI | MI LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 059637 (Michigan) | Secondary |
| 208000000X | Pediatrics | 069707 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Michael Goddard Ii, MD 7275 Sawmill Road, Northwest Pediatrics, Inc., Dublin, OH 43016 Ph: (614) 766-6321 | Dr Charles Michael Goddard Ii, MD 7275 Sawmill Road, Northwest Pediatrics, Inc., Dublin, OH 43016 Ph: (614) 766-6321 |
Mary Beth Cass, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6255a Emerald Pkwy, Dublin, OH 43016 Phone: 614-766-3344 Fax: 614-766-3330 | |
Kathryn L Ginocchi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5695 Innovation Drive, Suite 100, Dublin, OH 43016 Phone: 614-932-5050 Fax: 614-932-9372 | |
Karyn Wulf, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7450 Hospital Dr Ste 100, Dublin, OH 43016 Phone: 614-355-7000 | |
Michael Henry Joseph, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5060 Bradenton Ave, Suite B, Dublin, OH 43017 Phone: 614-889-6422 Fax: 614-453-8863 | |
Kimberly Kay Blazer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6255a Emerald Pkwy, Dublin, OH 43016 Phone: 614-766-3344 Fax: 614-766-3330 | |
Dr. Kassie Lynn Johnson, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6255 Emerald Pkwy, Dublin, OH 43016 Phone: 614-766-3344 Fax: 614-766-3330 | |
Kristin E. Thompson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5695 Innovative Drive, Suite 100, Dublin, OH 43016 Phone: 614-932-5050 Fax: 614-932-9372 |