Mark T. Godish
Internal Medicine (Pulmonary Disease)

Address: 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380
Phone: 4057554290

Mark T. Godish (NPI# 1689632937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1689632937
Entity Type Individual
Full Name Mark T. Godish
Credential M.D.
Gender Male
Practice Address 13313 N Meridian Ave
Building D
Oklahoma City
OK 73120-8380
Practice Telephone 4057554290
Practice Fax Number 4057557773
Mailing Address 4401 W Memorial Rd
Suite 140
Oklahoma City
OK 73134-1785
Mailing Telephone 4057523162
Mailing Fax Number 4059365211
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-05-03
Last Update Date 2014-05-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 1350-TEP WI
Yes 207RP1001X Internal Medicine · Pulmonary Disease Allopathic & Osteopathic Physicians 28468 OK
No 207RC0200X Internal Medicine · Critical Care Medicine Allopathic & Osteopathic Physicians 28468 OK

Physician Overview

NPI 1689632937
PAC ID by PECOS 1850491549
Professional Enrollment ID I20111102000198
Full Name Mark Godish
Organization Legal Name MERCY CLINIC OKLAHOMA COMMUNITIES
Phone Number 4057573365
Gender M
Medical School INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2004
Primary Specialty PULMONARY DISEASE
Group Practice PAC ID 1153468921
Number of Group Practice Members 417
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370013 MERCY HOSPITAL OKLAHOMA CITY, INC

Office Location

Street Address 13313 N MERIDIAN AVE
BUILDING D
City OKLAHOMA CITY
State OK
Zip Code 73120-8380

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639164163 Timothy L Grode Internal Medicine 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380 2005-09-12
1134403157 Linda Lea, Aprn-cnp, Pllc Nurse Practitioner 13313 N Meridian Ave, Suite A-3, Oklahoma City, OK 73120-8380 2011-10-10
1740504018 Oklahoma City Asc LLC Nurse Anesthetist, Certified Registered 13313 N Meridian Ave, Building B, Oklahoma City, OK 73120-8380 2010-03-16
1144474362 Arthur Douglas Beacham IIi Anesthesiology 13313 N Meridian Ave, Building C, Oklahoma City, OK 73120-8380 2008-11-14
1679767594 Cohlmia Orthodontics Dentist 13313 N Meridian Ave, Suite D-4, Oklahoma City, OK 73120-8380 2007-09-04
1942493747 Ralph I Kanaan Internal Medicine 13313 N Meridian Ave, Bldg D, Oklahoma City, OK 73120-8380 2007-08-24
1639220437 Tarek A Dernaika Internal Medicine 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380 2007-01-16
1285733345 Shawn Keith Lee Internal Medicine 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380 2006-09-22
1346349404 Stephen Neil Adler Internal Medicine 13313 N Meridian Ave, Bldg D, Oklahoma City, OK 73120-8380 2006-09-22
1427067628 Seyed M Alamian Internal Medicine 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380 2006-08-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962992115 Erin Lyn Florer Occupational Therapist 12401 Trail Oak Dr, Oklahoma City, OK 73120 2018-05-14
1780171009 Diabetic Foot and Wound Center of Okfas Podiatrist 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 2018-04-23
1285134387 Motley Vision Professionals, Pllc Eyewear Supplier 9805 N. May Avenue, Oklahoma City, OK 73120 2018-02-15
1043729700 Jenna Marie Howard Social Worker 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 2017-09-26
1962928895 Susan Chacko Counselor 12000 N Virginia Avenue, Oklahoma City, OK 73120 2017-08-22
1881116200 Rebekah Danielle Kabariti Counselor 12000 N. Virgnia Ave, Oklahoma City, OK 73120 2017-07-07
1568999498 Tabitha Lynn Arias Dentist 11900 N Pennsylvania Ave Ste A1, Oklahoma City, OK 73120 2017-05-23
1861928905 The Laughing Shark, Inc. Counselor 11212 N May Ave Ste 107, Oklahoma City, OK 73120 2017-05-11
1013459239 Hefner Chiropractic Pllc Chiropractor 2236 W Hefner Rd, Suite 200, Oklahoma City, OK 73120 2016-11-07
1396296562 Maggie Green Social Worker 12605 Arrowhead Dr, Oklahoma City, OK 73120 2016-10-21
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497160600 Samih Hussein Raad Internal Medicine 800 Stanton L Young Blvd # 8400, Oklahoma City, OK 73104-5018 2014-06-25
1689966103 Anthony Xavier Troitino Internal Medicine 3366 Nw Expressway Ste 650, Oklahoma City, OK 73112-4490 2011-05-03
1164654117 Viral K Doshi Internal Medicine 13313 N Meridian Ave Ste D, Oklahoma City, OK 73120-8316 2009-08-10
1427222561 Omar Nehme Internal Medicine 13313 N Meridian Ave Bldg D, Oklahoma City, OK 73120-8380 2008-04-18
1326235409 Najwa A Bahu-baugh M D P C Internal Medicine 4140 W Memorial Rd Ste 421, Oklahoma City, OK 73120-8300 2007-10-02
1255419115 Mohammad I Paracha Internal Medicine 4221 S Western Ave Ste 2045, Oklahoma City, OK 73109-3445 2006-11-01
1922064542 Norman Kerr Imes Internal Medicine 3613 Nw 56 Ste 150, Oklahoma City, OK 73112-4506 2006-04-22
1780651315 Stacey Lyn Foshee Internal Medicine 3048 Sw 89th St Ste B, Oklahoma City, OK 73159-6359 2006-03-02
1639164163 Timothy L Grode Internal Medicine 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380 2005-09-12
1568838696 Allen Medical, Pllc Internal Medicine 1226 N Shartel Ave, Ste 100, Oklahoma City, OK 73103-2421 2015-08-12
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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