DEBORAH GODDARD (NPI# 1255463733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255463733 |
| Entity Type | Individual |
| Full Name | DEBORAH GODDARD |
| Credential | M.D. |
| Practice Address |
340 Maple St Suite 203 Marlborough MA 01752-3200 |
| Practice Telephone | 5084857779 |
| Practice Fax Number | 5084857769 |
| Mailing Telephone | 5084857779 |
| Mailing Fax Number | 5084857769 |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2014-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 260925 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740319797 | Deborah D Goddard | Social Worker | 1203 Maple St, Greensboro, NC 27405-6910 | 2007-03-05 |
| 1770521874 | Deborah Jean Goddard | Nurse Practitioner | 300 Health Park Blvd, St Augustine, FL 32086-3707 | 2006-06-02 |
| Street Address |
340 MAPLE ST SUITE 203 |
| City | MARLBOROUGH |
| State | MA |
| Zip Code | 01752-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922083849 | Julie F Ozaydin | Family Medicine | 340 Maple St, Suite 300, Marlborough, MA 01752-3200 | 2005-12-14 |
| 1184238198 | Jacob Mourtada | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2020-09-08 |
| 1609418920 | Jeanette Hall | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2019-10-09 |
| 1104474147 | Brian Michael Bradley I | Student in an Organized Health Care Education/Training Program | 340 Maple St, Marlborough, MA 01752-3200 | 2019-09-03 |
| 1205310109 | Jessica L Craig | Counselor | 340 Maple St, Marlborough, MA 01752 | 2018-09-18 |
| 1821571571 | Alexandra Catherine Nagel | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2018-09-10 |
| 1417436080 | Simply Orthodontics of Marlborough, Pllc | Clinic/Center | 340 Maple St, Marlborough, MA 01752-3200 | 2018-08-14 |
| 1477032241 | Nadine Lucas | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2018-08-12 |
| 1790204873 | Erin Keeney | Counselor | 340 Maple St, Marlborough, MA 01752 | 2017-09-11 |
| 1568985679 | Lucy Hanbury | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2017-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1235754664 | Jessica Michelle Rudolph | Behavior Technician | 22 Cedar Hill Street, Suite 200, Marlborough, MA 01752 | 2020-06-11 |
| 1619501012 | Kady Potter | Behavioral Analyst | 225 Cedar Hill Street, Marlborough, MA 01752 | 2020-02-25 |
| 1639701113 | Cheyenne-lynn Charnik | Behavior Technician | 255 Cedar Hill St, Suite 200, Marlborough, MA 01752 | 2020-02-12 |
| 1063042711 | Nichole Lowder | Behavioral Analyst | 22 5 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-01-22 |
| 1164068649 | Ludiana Andrade | Behavioral Analyst | 225 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2019-11-20 |
| 1215583646 | Olivia Setzer | Behavior Technician | 225 Cedar Street, Suite 200, Marlborough, MA 01752 | 2019-08-12 |
| 1306490867 | Rachael Lee Pennachi | Behavior Technician | 225 Cedar Hill Street Ste 200, Marlborough, MA 01752 | 2019-08-01 |
| 1962964130 | Hero Therapy LLC | Behavioral Analyst | 11 Apex Dr Ste 300a, Marlborough, MA 01752 | 2019-04-04 |
| 1780190728 | Rachel Castleberry | Counselor | Advocates, 340 Maple Street 4th Floor, Marlborough, MA 01752 | 2017-12-28 |
| Find all providers in zip 01752 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972164937 | Kuchnir Realty, LLC | Dermatology | 11 Apex Dr Ste 103a, Marlborough, MA 01752-1860 | 2019-06-21 |
| 1407977846 | Thanh-nga Trinh Tran | Dermatology | 340 Maple St., Suite 203, Marlborough, MA 01752 | 2007-04-03 |
| 1720061302 | Jeffrey D Bernhard | Dermatology | 340 Maple St Ste 203, Kuchnir Dermatology, Marlborough, MA 01752-3200 | 2005-11-28 |
| 1225457880 | Christina Marie Correnti | Dermatology | 340 Maple St Ste 203, Marlborough, MA 01752-3200 | 2014-04-10 |
| 1871709634 | Louis Kuchnir, Md, PC | Dermatology | 340 Maple St Ste 203, Marlborough, MA 01752-3200 | 2007-05-15 |
| 1225087919 | Kevin Donohue | Dermatology | 340 Maple St, Marlborough, MA 01752-3200 | 2006-05-09 |
| 1043269731 | Louis Kuchnir | Dermatology | 340 Maple St Ste 203, Marlborough, MA 01752-3200 | 2006-05-09 |
| 1366407371 | Carl F Schanbacher | Dermatology | 340 Maple St, Suite 203, Marlborough, MA 01752-3200 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090445 | Peter T Demos Md | Dermatology | 125 Liberty St Ste 206, Springfield, MA 01103-1109 | 2020-07-08 |
| 1376180760 | Integrated Dermatology of Needham, LLC | Dermatology | 60 Dedham Ave Ste 206, Needham, MA 02492-3061 | 2019-12-04 |
| 1164069647 | Integrated Dermatology of Mashton, LLC | Dermatology | 800 Falmouth Rd Ste 101, Mashpee, MA 02649-3303 | 2019-12-04 |
| 1265098032 | Mark Amster Derm | Dermatology | 800 Falmouth Rd Ste 101b, Mashpee, MA 02649-3352 | 2019-05-16 |
| 1831684224 | Chotinij Lertphanichkul | Dermatology | 850 Boylston St Ste 437, Chestnut Hill, MA 02467-2405 | 2018-06-27 |
| 1023515277 | Vibrant Dermatology Pllc | Dermatology | 588 Providence Hwy, Dedham, MA 02026-6804 | 2018-04-12 |
| 1437665908 | Kuchnir Dermatology, PC | Dermatology | 20 Hope Ave Ste 105, Waltham, MA 02453-2717 | 2017-12-20 |
| 1265941082 | Integrated Dermatology Group, LLC | Dermatology | 280 Washington St Ste 212, Brighton, MA 02135-3511 | 2017-09-25 |
| 1679098750 | Avant-garde Medical LLC | Dermatology | 62 Pleasant St, Natick, MA 01760-5634 | 2017-08-09 |
| 1902329832 | Abeer Alsarheed | Dermatology | 30 Dalton St Apt 1510, Boston, MA 02115-3178 | 2017-07-23 |
| Find all providers with the same taxonomy | ||||
| City | MARLBOROUGH |
| Zip Code | 01752 |
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| 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.