CARLOS A GODOY (NPI# 1881654705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881654705 |
| Entity Type | Individual |
| Full Name | CARLOS A GODOY |
| Practice Address |
4700 Schaefer Rd Dearborn MI 48126-3698 |
| Mailing Address |
33651 Oak Point Cir Farmington Hills MI 48331-2768 |
| Practice Telephone | 3135812600 |
| Practice Fax Number | 3135810228 |
| Mailing Telephone | 2485530717 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2012-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
CG033015 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MIDWEST HEALTH PLAN | 001015 | 01 |
| MI | MEDICARE PROVIDER NO | 236661 | 01 |
| MI | AETNA | 4471546 | 01 |
| MI | OMNI A COVENTRY HEALTH PL | 50801 | 01 |
| MI | GREAT LAKES HEALTH PLAN | 112307 | 01 |
| MI | BCBSM/BCN | 340H210660 | 01 |
| MI | 1358084 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215316120 | Carlos Godoy | Contractor | 6108 E Bramble St, Tucson, AZ 85756 | 2015-05-26 |
| Street Address |
4700 SCHAEFER RD |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-3698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831169911 | Suhail M Banister | Pediatrics | 4700 Schaefer Rd, Dearborn, MI 48126-3698 | 2006-01-23 |
| 1649820986 | Western Wayne Family Health Centers | Clinic/Center | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2019-09-18 |
| 1497279020 | Molina Medical Group of Michigan, PC | Family Medicine | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2017-07-26 |
| 1861931941 | Wassim Abouarabi | Nurse Practitioner | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2017-02-22 |
| 1316497761 | Molina Medical Group of Michigan, PC | Clinical Medical Laboratory | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2016-10-10 |
| 1407204134 | Molina Medical Group of Michigan, PC | Obstetrics & Gynecology | 4700 Schaefer Rd, Dearborn, MI 48126-3698 | 2016-06-03 |
| 1831595040 | Angela Elaine Eburuche | Nurse Practitioner | 4700 Schaefer Rd, Dearborn, MI 48126-3698 | 2014-11-16 |
| 1316368582 | Haya Altown | Physician Assistant | 4700 Schaefer Rd, Dearborn, MI 48126 | 2013-12-13 |
| 1174880736 | Oakwood Dentists P.l.l.c. | Dentist | 4700 Schaefer Rd, #109, Dearborn, MI 48126-3698 | 2012-04-19 |
| 1134492465 | University Physician Group | Eyewear Supplier (Equipment, not the service) | 4700 Schaefer Rd, Suite 260, Dearborn, MI 48126-3698 | 2012-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194202234 | Mvp Endovascular Center Pllc | Internal Medicine | 22720 Michigan Ave Ste 300, Dearborn, MI 48124-2035 | 2018-07-22 |
| 1205389384 | Elite Medical Enterprises, Inc. | Internal Medicine | 7750 Schaefer Rd Ste 202, Dearborn, MI 48126-1159 | 2016-07-26 |
| 1568889376 | Ma Sobh Do Plc | Internal Medicine | 904 Mason St, Dearborn, MI 48124-2215 | 2014-03-19 |
| 1306969076 | Heart and Vascular Physicians Plc | Internal Medicine | 4953 Schaefer Rd Ste 2, Dearborn, MI 48126-3259 | 2007-04-09 |
| 1427084805 | George Toufic Nahhas | Internal Medicine | 2881 Monroe St, Suite 100, Dearborn, MI 48124-2847 | 2006-06-25 |
| 1700856747 | Subhash C. Sabharwal | Internal Medicine | 22060 Beech St 200, Dearborn, MI 48124-2853 | 2006-01-24 |
| 1225039563 | Sohail Akhtar Hassan | Internal Medicine | 22060 Beech St Ste 200, Dearborn, MI 48124-2853 | 2005-08-09 |
| 1720440068 | Sara Khodor | Internal Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124 | 2016-03-25 |
| 1023413945 | Mancini Consulting L.L.C. | Internal Medicine | 2881 Monroe St, Dearborn, MI 48124-3475 | 2014-11-04 |
| 1447698311 | Brian Robert Albertson | Internal Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2013-06-12 |
| Find all providers in DEARBORN | ||||
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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.