James K Goddard in Roseville - Vascular & Interventional Radiology
James K Goddard - NPI 1770562639
James K Goddard is a Vascular & Interventional Radiology in Roseville, Minnesota. James K Goddard practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for James K Goddard is 1770562639. The last update date is 2021-07-12.
James K Goddard's current location address is 2355 Highway 36 W Ste 100, Roseville, Minnesota. You can contact this provider via phone number 6512922000 and fax number 6512922204. The mailing address for James K Goddard is 2355 Highway 36 W Ste 100, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James K Goddard |
|---|---|
| Address | 2355 Highway 36 W Ste 100, Roseville, Minnesota |
| Phone Number | 6512922000 |
| Fax Number | 6512922204 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1770562639 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2021-07-12 |
Provider Mailing Address Detail
| Address | 2355 Highway 36 W Ste 100 |
|---|---|
| City | Roseville |
| State | Minnesota (MN) |
| Post Code | 551133905 |
| Phone Number | 6512922000 |
| Fax Number | 6512922204 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | 46729 |
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Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 176682100 | MN | -- |
Post Comment/ Review Below
What is the James K Goddard's unique identification number?
The James K Goddard has been assigned the NPI (National Provider Identifier) Number 1770562639 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where James K Goddard's facilities are geographically located?
The facilities of James K Goddard are physically situated at the following location: 2355 Highway 36 W Ste 100, Roseville, MN, 551133905.
What is the area of specialization for James K Goddard, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for James K Goddard is Vascular & Interventional Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0204X.
On what date did the James K Goddard receive the assignment of its 1770562639 from the Centers for Medicare & Medicaid Services?
The James K Goddard was issued its 1770562639 by the Centers for Medicare & Medicaid Services on 2006-01-10.
As of what date were the details related to James K Goddard most recently updated or revised?
The information pertaining to James K Goddard, including its address, specialty, and other relevant details, was last updated or revised on 2021-07-12.