RICHARD KOHLSTADT GODINE


Address: 1995 Bethabara Rd, Winston Salem, NC 27106-3375
Phone: 3367597596

RICHARD KOHLSTADT GODINE (NPI# 1285129759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285129759
Entity Type Individual
Full Name RICHARD KOHLSTADT GODINE
Credential PA-C
Practice Address 1995 Bethabara Rd
Winston Salem
NC 27106-3375
Mailing Address Po Box 751803
Charlotte
NC 28275-1803
Practice Telephone 3367597596
Enumeration Date 2018-06-27
Last Update Date 2020-10-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0010-08185 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1995 BETHABARA RD
City WINSTON SALEM
State NC
Zip Code 27106-3375

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508308610 Nanette Fulp Physician Assistant 1995 Bethabara Rd, Winston Salem, NC 27106-3375 2016-11-07
1417336876 Elizabeth Joan Soto Physician Assistant 1995 Bethabara Rd, Winston Salem, NC 27106-3375 2015-05-19
1316295173 Joanna Elizabeth Long Nurse Practitioner 1995 Bethabara Rd, Winston Salem, NC 27106-3375 2012-08-27
1154454825 Forsyth Memorial Hospital Inc Internal Medicine 1995 Bethabara Rd, Winston Salem, NC 27106-3375 2007-03-13
1063433803 Ana A Frunza Family Medicine 1995 Bethabara Rd, Winston Salem, NC 27106-3375 2006-07-21
1649290669 Robert M. Gay Jr. Internal Medicine 1995 Bethabara Rd, Winston Salem, NC 27106-3375 2006-07-20
1649239641 Mdco Pa Internal Medicine 1995 Bethabara Rd, Winston Salem, NC 27106-3375 2006-03-20
1225017544 Harry Turner Hulbert IIi Physician Assistant 1995 Bethabara Rd, Winston Salem, NC 27106-3375 2006-01-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437799103 Tyler Laura Lawrence Behavioral Analyst 1959 N Peace, 104, Winston-salem, NC 27106 2020-01-10
1316504624 Amanda Baker Behavior Technician 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 2019-05-22
1679030316 Lavonda Williams Behavior Technician 1959 N Peace Haven Road, Winston Salem, NC 27106 2019-03-01
1518436708 Angela Ruth Brown Physical Therapy Assistant 190 Moravian Way Drive, Winston-salem, NC 27106 2018-11-16
1407378896 Applied Family Services of Winston-salem Early Intervention Provider Agency 4220 Witherow Rd, Winston Salem, NC 27106 2017-07-07
1750801676 Julia Ann Horton Speech-Language Pathologist 2000 Salemtowne Drive, Winston Salem, NC 27106 2017-06-21
1124548037 Tyler John Jones Community Health Worker 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 2017-06-21
1396274759 Jennifer Cui Social Worker 3216 Cross Tree Rd, Winston-salem, NC 27106 2017-06-08
1063947802 Rebecca Jeanette Mclemore Social Worker 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 2017-05-01
1720529357 Rising Hope Clinical Assistance, LLC Community/Behavioral Health 510 Northgate Park Dr, Winston Salem, NC 27106 2017-03-15
Find all providers in zip 27106

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598375032 Anthony Gentile Physician Assistant 2632 Wynbrook Dr, Winston Salem, NC 27103-8005 2020-08-07
1376152074 Meera Shah Physician Assistant 3288 Robinhood Rd Ste 202, Winston Salem, NC 27106-5464 2020-07-28
1770118457 Heather Leigh Bissell Physician Assistant 153 Lavender Ln, Winston Salem, NC 27107-6023 2020-03-03
1245899806 Cheryl L Sizer Physician Assistant Wake Forest Baptist Health 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2019-06-07
1235606575 Vincent James Alderete Physician Assistant Wake Forest Baptist Health 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 2018-10-25
1386127538 Frederick Keith Stirewalt Physician Assistant Medical Center Blvd Faithhealth, Winston Salem, NC 27157-0001 2018-09-13
1164936852 Lindsay Webster Physician Assistant 10479 Nc-109, 107a, Winston Salem, NC 27107 2017-11-17
1518477694 Raul Canchari Ames Physician Assistant 512 Waughtown St, Winston Salem, NC 27127-2236 2017-10-03
1922528611 Devon Adams Physician Assistant 1 Medical Center Blvd Gastroenterology Dept, Winston Salem, NC 27157-7223 2017-06-22
1053862474 Seguin Warwick Beuerlein Physician Assistant 2425 Riley Forest Dr, Winston Salem, NC 27127-7573 2016-10-20
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27106

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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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