CHARLES M. GODDARD, II MD – NPI #1154483089
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CHARLES GODDARD, II is a physician located in DUBLIN, OH. NPPES has assigned the NPI number 1154483089 to CHARLES GODDARD, II on December 15, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES GODDARD, II below.

NPI Profile for
CHARLES M. GODDARD, II

NPI Number
1154483089
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES M. GODDARD, II
Credentials
MD
Primary location
7275 SAWMILL ROAD
NORTHWEST PEDIATRICS, INC.
DUBLIN, OH 43016
Phone: (614) 766-6321 Fax: (614) 766-0193
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for CHARLES GODDARD, II

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherCAQH PROVIDER IDMI11293017
otherMI LICENSEMI059637
otherOH LICENSEOH69707
medicaidMI328339
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
MI 059637

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.