OLENA GODDARD (NPI# 1568665511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568665511 |
| Entity Type | Individual |
| Full Name | OLENA GODDARD |
| Credential | MD |
| Practice Address |
6701 N Charles St Pediatric Neonatology, 2358 Baltimore MD 21204-6808 |
| Practice Telephone | 4438492781 |
| Mailing Telephone | 4438492781 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
D0075940 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
6701 N CHARLES ST PEDIATRIC NEONATOLOGY, 2358 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21204-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114699 | Douglas Edward Kircher | Nurse Anesthetist, Certified Registered | 6701 N Charles St, Baltimore, MD 21204-6808 | 2005-06-20 |
| 1083180327 | Louise Potter Hanssen | Nurse Practitioner | 6701 N Charles St, Baltimore, MD 21204-6808 | 2018-10-14 |
| 1568945806 | Rita Mallouh | Surgery | 6701 N Charles St, Baltimore, MD 21204-6881 | 2018-09-12 |
| 1609361880 | Margaret Craun | Occupational Therapist | 6701 N Charles St, Baltimore, MD 21204 | 2018-06-29 |
| 1639687163 | Omolara Olasimbo | Physician Assistant | 6701 N Charles St, Baltimore, MD 21204-6808 | 2018-01-18 |
| 1235640509 | Marissa Ann Kennell | Physician Assistant | 6701 N Charles St, Baltimore, MD 21204-6808 | 2017-10-13 |
| 1760907497 | Carine Marie Cattier | Physician Assistant | 6701 N Charles St, Baltimore, MD 21204-6808 | 2017-08-03 |
| 1134656408 | Sherrie Onte Oladapo | Nurse Anesthetist, Certified Registered | 6701 N Charles St, Baltimore, MD 21204-6808 | 2017-05-17 |
| 1902343825 | Kathryn Woods | Registered Nurse | 6701 N Charles St, Baltimore, MD 21204-6808 | 2017-01-30 |
| 1306382973 | Anne Parks | Physician Assistant | 6701 N Charles St, Baltimore, MD 21204-6808 | 2017-01-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528301306 | Suneetha Desiraju | Pediatrics | 4940 Eastern Ave Bldg Aa2, Baltimore, MD 21224-2735 | 2013-03-31 |
| 1013277441 | Christine Capriolo | Pediatrics | 22 S Greene St # N4wicu, Baltimore, MD 21201-1544 | 2012-05-18 |
| 1235315581 | Bruce Ryland Boynton | Pediatrics | 4209 Newgate Ave, Canton Pier 11, Baltimore, MD 21224-6416 | 2008-01-17 |
| 1962446328 | Akhil Maheshwari | Pediatrics | 1800 Orleans St # 8s852, Baltimore, MD 21287 | 2006-06-16 |
| 1679114581 | Susan M Kelly | Pediatrics | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2019-10-01 |
| 1306308937 | Jennifer Elizabeth Bivens | Pediatrics | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2019-04-02 |
| 1073964441 | Rebecca Suflas | Pediatrics | 110 S Paca St Fl 8, Baltimore, MD 21201 | 2016-06-28 |
| 1962896282 | Cecilia Kwak | Pediatrics | 1800 Orleans St, The Johns Hopkins Hospital, Baltimore, MD 21287-0010 | 2015-03-25 |
| 1245640770 | Francesca Okolie | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1544 | 2014-05-06 |
| 1073932661 | Deepika Chadive | Pediatrics | 2401 West Belvedere Ave, Baltimore, MD 21215-2121 | 2014-04-10 |
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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.