Mark Goddard, M.D.

Individual Active
NPI 1124101621
Critical Care Medicine (Internal Medicine) Physician Murray, UT

NPI 1124101621 belongs to Mark Goddard, M.D., a critical care medicine (internal medicine) physician with a practice location in Murray, UT. The NPI was issued on October 20, 2006, and the record was last updated in NPPES on January 21, 2009. The record lists 6 taxonomy codes.

This record hasn't been updated in NPPES since 2009. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200X 293990-1205 (UT)
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD26606 (OR)
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD00046412 (WA)
Pulmonary Disease Physician 207RP1001X MD26606 (OR)
Pulmonary Disease Physician 207RP1001X MD00046412 (WA)
Pulmonary Disease Physician 207RP1001X 293990-1205 (UT)

Practice location

5121 S. Cottonwood Street
Imc, Division Of Pulmonary/Ccm
Murray, UT 84107
Phone: (801) 507-4000

Local context

Active NPPES records list 48 providers with critical care medicine (internal medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 47 of them within 10 miles.

The same primary taxonomy is listed by 65 in Utah and 7,319 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mark Kimball Goddard
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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