JOHN GORDON GODDARD


Address: 1666 E Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71105-5714
Phone: 3182123750

JOHN GORDON GODDARD (NPI# 1629008214) 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) 1629008214
Entity Type Individual
Full Name JOHN GORDON GODDARD
Credential MD
Practice Address 1666 E Bert Kouns Industrial Loop
Suite 105
Shreveport
LA 71105-5714
Practice Telephone 3182123750
Practice Fax Number 3182123755
Mailing Telephone 3182123750
Mailing Fax Number 3182123755
Enumeration Date 2006-07-03
Last Update Date 2007-10-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 0101057937 VA Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 15478R LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1466760 05

Other Providers JOHN GODDARD

NPI Name Taxonomy Address Enumeration
1013043066 John Hunter Goddard IIi Dentist 157 N Main St, Jonesboro, GA 30236-3568 2007-02-26
1730278375 John Christopher Goddard Otolaryngology 10180 Se Sunnyside Rd, Sunnybrook Medical Building, Dept of Otolaryngology, Clackamas, OR 97015-8970 2006-10-12
1063489425 John A. Goddard Internal Medicine 600 18th St, Suite 512, Parkersburg, WV 26101-3231 2006-03-03

Office Location

Street Address 1666 E BERT KOUNS INDUSTRIAL LOOP
SUITE 105
City SHREVEPORT
State LA
Zip Code 71105-5714

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306875570 Edward Ronald Samper Emergency Medicine 1666 E Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71105-5714 2006-07-01
1326488347 Abigail Tillman Family Medicine 1666 E Bert Kouns Industrial Loop, Shreveport, LA 71105 2013-07-05
1821127978 Breast Care Specialists Amc Surgery 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105-5714 2007-03-05
1891822714 Cheryl Austin Smith, Md, Inc. Family Medicine 1666 E Bert Kouns Industrial Loop, Suite 225, Shreveport, LA 71105-5714 2007-02-27
1073612727 Swearingen and Bryan Specialist 1666 E Bert Kouns Industrial Loop, Ste 235, Shreveport, LA 71105-5714 2006-09-21
1235247230 Cheryl A Smith Family Medicine 1666 E Bert Kouns Industrial Loop, Suite 225, Shreveport, LA 71105-5714 2006-08-29
1598797789 Stephen Alan Smith Family Medicine 1666 E Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71105-5714 2006-07-07
1003847013 Paul S Wilson Md and Willis-knighton Medical Center Internal Medicine 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105-5714 2006-07-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699245928 Misty Johnetta Ross Counselor 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 2018-11-29
1205301868 Tatjhana Maury Case Manager/Care Coordinator 3325 Youree Drive, Shreveport, LA 71105 2018-10-10
1245710920 Jefferey Douglas Adair Md Non-Pharmacy Dispensing Site 8860 Fern Ave., Suite 120, Shreveport, LA 71105 2018-08-21
1679059539 Michael E Woolbert Dds LLC Dentist 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 2018-07-13
1881195675 Adiba Bibi Pharmacist 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 2018-02-27
1740796655 Allison Borel Counselor 2020 E 70th St Ste 201, Shreveport, LA 71105 2017-12-15
1073028148 Valerie Wooten Barcelona Physical Therapist 130 Kayla Street, Shreveport, LA 71105 2017-12-11
1710497615 Jimmy Carroll Counselor 2960 Knight St, Suite 110, Shreveport, LA 71105 2017-10-05
1932618444 David Louis Bennett Counselor 3007 Knight St., Suite 200, Shreveport, LA 71105 2017-09-27
1619496452 Shaqwana Hodge Counselor 2920 Knight St. Suite 110, Shreveport, LA 71105 2017-09-13
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922621390 Partners In Primary Care La PC Family Medicine 7551 Youree Dr Ste 11, Shreveport, LA 71105-5533 2020-05-20
1528609104 Spectra Family Clinic, LLC Family Medicine 9300 Mansfield Rd Ste 209, Shreveport, LA 71118-3138 2019-10-04
1922502327 Courtney Morgan Family Medicine 723 Milam St, Shreveport, LA 71101-3507 2018-03-20
1174973317 Patrick Michael Fitz-gerald Family Medicine 731 Coachlight Rd, Shreveport, LA 71106-7205 2016-06-19
1437446341 Samreena N Sara Family Medicine 8835 Line Ave Ste 400a, Shreveport, LA 71106-6722 2011-06-30
1932490554 Michael Thomas Kitchell Family Medicine 1666 E Bert Koun Loop Ste 105, Shreveport, LA 71105-5718 2011-04-30
1831402254 David J. Colvin Md LLC Family Medicine 148 Waters Edge Dr, Shreveport, LA 71106-7774 2010-07-15
1952628802 Tri Pham Family Medicine 133 Charles Ave, Shreveport, LA 71105-3719 2010-04-30
1669799524 Stephanie James Family Medicine 2120 Bert Kouns Industrial Loop Ste M, Shreveport, LA 71118-3355 2010-04-30
1205062965 Charles Henry Nash Family Medicine 5935 Gilbert Dr, Shreveport, LA 71106-2315 2009-06-08
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71105

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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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