Eric M Goddard (NPI# 1053824763, PAC ID# 7810254018) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1053824763 |
| PAC ID by PECOS | 7810254018 |
| Professional Enrollment ID | I20171127000080 |
| Full Name | Eric M Goddard |
| Organization Legal Name | SOUND PHYSICIANS OF INDIANA, LLC |
| Address |
5215 Holy Cross Pkwy Mishawaka IN 46545-1469 |
| Phone Number | 5743355000 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4981841780 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 150168 | THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR |
| Address | Phone | Organization |
|---|---|---|
| 601 W 2nd St, Bloomingtion, IN 47403-2317 | 8123535252 | HOSPITALIST MEDICINE PHYSICIANS OF INDIANA LLC |
| 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2064357001 | SOUND PHYSICIANS OF INDIANA, LLC |
| 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2604357001 | HOSPITALIST MEDICINE PHYSICIANS OF INDIANA LLC |
| 7952 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2604352999 | SOUND PHYSICIANS OF INDIANA, LLC |
| 7952 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | HOSPITALIST MEDICINE PHYSICIANS OF INDIANA LLC | |
| 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 5743355000 | SOUND PHYSICIANS OF INDIANA, LLC |
| Organization Legal Name | SOUND PHYSICIANS OF INDIANA, LLC |
| Physicians | 76 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Augustine Nnadi | Hospitalist | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Ahmad Khatri | Family Medicine | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Elizabeth M Lauber | Internal Medicine | Sound Physicians of Indiana, LLC | 601 W 2nd St, Bloomingtion, IN 47403-2317 |
| Sharmaine Habib | Internal Medicine | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Hendy B Jean | Hospitalist | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Brittany M Heiser | Physician Assistant | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Christopher C Brodkin | Hospitalist | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Khawaja Owais Omar | Hospitalist | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Naomi C Lightburn | Hospitalist | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Tatiana Denega | Hospitalist | Sound Physicians of Indiana, LLC | 1606 N 7th St, Terre Haute, IN 47804-2706 |
| Street Address |
5215 HOLY CROSS PKWY |
| City | MISHAWAKA |
| State | IN |
| Zip | 46545-1469 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Augustine Nnadi | Hospitalist | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Cody S Yerger | Anesthesiology | St. Joseph Valley Anesthesia P.C. | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Ahmad Khatri | Family Medicine | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Sharmaine Habib | Internal Medicine | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Hendy B Jean | Hospitalist | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Brittany M Heiser | Physician Assistant | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Christopher C Brodkin | Hospitalist | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Khawaja Owais Omar | Hospitalist | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Naomi C Lightburn | Hospitalist | Sound Physicians of Indiana, LLC | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Adam D Zamzow | Anesthesiology | St. Joseph Valley Anesthesia P.C. | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marielvea A Banks | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Sean R Horner | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Rami Musleh | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Meghan M Barrus | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Ann M Grubb | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Duane M Wampler | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Eugene Huang | Emergency Medicine | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Steven D Whaley | Anesthesiology | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Angela Blagojevski | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Danny E Winn | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Find all physicians in zip 46545 | |||
| City | MISHAWAKA |
| Zip Code | 46545 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MISHAWAKA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Eric M Goddard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.