DR. JONATHAN D GODFREY


Address: 1151 Hospital Way, Building A, Pocatello, ID 83201-5091
Phone: 2082326616

DR. JONATHAN D GODFREY (NPI# 1649474719) 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) 1649474719
Entity Type Individual
Full Name DR. JONATHAN D GODFREY
Credential M.D.
Practice Address 1151 Hospital Way
Building A
Pocatello
ID 83201-5091
Practice Telephone 2082326616
Practice Fax Number 2082326618
Mailing Telephone 2082326616
Mailing Fax Number 2082326618
Enumeration Date 2007-06-13
Last Update Date 2013-06-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
2010012205 MO Allopathic & Osteopathic Physicians
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
M-11289 ID Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JONATHAN GODFREY

NPI Name Taxonomy Address Enumeration
1538132626 Jonathan Andrew Godfrey Physician Assistant 150 Airport Rd, Meridian Occupational Health, Lakewood, NJ 08701-6924 2006-02-09

Office Location

Street Address 1151 HOSPITAL WAY
BUILDING A
City POCATELLO
State ID
Zip Code 83201-5091

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437151446 Matthew Ayers Murdoch Pediatrics 1151 Hospital Way, Building F, Pocatello, ID 83201-5091 2005-08-10
1093132458 Haiden L Siepert Specialist/Technologist 1151 Hospital Way, Pocatello, ID 83201-5091 2014-03-24
1912223959 Cindy Elizabeth Parsons Pediatrics 1151 Hospital Way, Bldg F, Pocatello, ID 83201 2010-04-15
1992950802 Laura M Duty Pediatrics 1151 Hospital Way, Bldg. F, Pocatello, ID 83201 2008-11-19
1194996868 Jessica Lusk Social Worker 1151 Hospital Way, Pocatello, ID 83201-5091 2008-03-20
1730367517 Brian C Fulks Pediatrics 1151 Hospital Way, Bldg F, Pocatello, ID 83201 2008-02-04
1033396049 Jamie Kae Cobbley Specialist 1151 Hospital Way, Pocatello, ID 83201-5091 2008-01-22
1205025673 Bmh Inc Clinic/Center 1151 Hospital Way, Pocatello, ID 83201-5091 2007-10-22
1477690899 Paula Brutz Phelps Physician Assistant 1151 Hospital Way, Suite D, Suite 201, Pocatello, ID 83201-5091 2007-02-01
1497807044 Shaun Stephen Summerill Pediatrics 1151 Hospital Way, Bldg F, Pocatello, ID 83201 2007-01-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235765330 Timothy Palmer Social Worker 400 S 11th Ave, Ste 204, Pocatello, ID 83201 2020-03-20
1225687759 Hanna Percy Nurse Practitioner 1151 Hospital Way Ste 201, Pocatello, ID 83201 2019-09-07
1659935195 Carol Jane Dillon Counselor 707 North 7th Avenue, Suite D, Pocatello, ID 83201 2019-04-30
1154801595 Mv Pocatello Ent, LLC Otolaryngology 333 N 18th Ave Ste B3, Pocatello, ID 83201 2018-08-15
1306344346 Ruth Anne Patton Social Worker 850 E Young St, Pocatello, ID 83201 2018-01-24
1598289274 Lucas Alexander Bryan Specialist/Technologist 1535 E Terry St, Pocatello, ID 83201 2017-08-03
1205365632 Geno Alan Giovanini Denturist 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 2017-06-08
1518415942 Kelli Fries-geslin Nurse Practitioner 500 South 11 Ave Suite 400, Pocatello, ID 83201 2016-09-14
1346797842 Shailyn Jenkins Specialist/Technologist 665 Warren Ave., Pocatello, ID 83201 2016-09-01
1992258149 Christopher Jared White Social Worker 300 N 7th Ave, Pocatello, ID 83201 2016-07-24
Find all providers in zip 83201

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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
1295754265 Southeast Idaho Gastroenterology,pllc Internal Medicine 1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 2006-07-19
1972525111 Darryl Bruce Cook Internal Medicine 1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 2006-07-24
1295757433 Thomas Vance Davis Internal Medicine 1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 2006-07-24
1992727143 Charles Barclay Evans Internal Medicine 1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 2006-07-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649516212 Theodore Weldon Bohlman Internal Medicine 8820 Stewart Rd, Meridian, ID 83642-7226 2012-12-29
1679890057 Walter W Hair Internal Medicine 1402 N Promontory Rd, Boise, ID 83702-3040 2010-04-26
1659492809 Bruce R Croffy Internal Medicine 3000 E Pine Ave, Meridian, ID 83642-5995 2007-04-03
1598843039 Judith Erika Csanky Internal Medicine 1411 Falls Ave E Ste 1151, Twin Falls, ID 83301-3455 2006-11-01
1235211582 George Christopher Kutteruf Internal Medicine 1607 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2476 2006-10-19
1164515276 Healing Arts Day Surgery LLC Internal Medicine 222 W Iowa Ave Ste B, Suite B, Nampa, ID 83686-6814 2006-10-02
1194817023 Treasure Valley Gastroenterology Specialists Inc Internal Medicine 222 W Iowa Ave, Suite A, Nampa, ID 83686-6813 2006-09-28
1740386432 John Carl Morgenstern Internal Medicine 1630 23rd Ave Ste 701, Lewiston, ID 83501-6345 2006-09-16
1164525853 Raquel Croitoru Internal Medicine 222 W Iowa Ave Ste A, Nampa, ID 83686-6814 2006-09-07
1184619165 Paul H Baehr Internal Medicine 425 W Bannock St, Boise, ID 83702-6035 2005-09-15
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Competitor

Search similar providers

City POCATELLO
Zip Code 83201

Improve Information

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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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