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GODDARD MEDICAL, LLC
NPI 1366033359
General Practice in Overland Park, KS

Active since February 01, 2021
11936 W 119TH ST # 158, OVERLAND PARK, KS 66213(913) 735-9044 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2021, Feb 1, 2021 (2 updates tracked since 2021).

About Goddard Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GODDARD MEDICAL, LLC (NPI 1366033359) is a healthcare organization registered as a general practice in Overland Park, Kansas and active in the NPI registry since February 2021. The organization lists Maria Sheelene Goddard, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1366033359
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGODDARD MEDICAL, LLC
Location Address11936 W 119TH ST # 158Overland Park, KS 66213-2216
Mailing Address11936 W 119th St # 158Overland Park, KS 66213-2216 · (913) 735-9044
Phone(913) 735-9044
Organization SubpartNo
Authorized OfficialMaria Sheelene GoddardChief Executive Officer · (913) 735-9044
Enumeration DateFebruary 1, 2021
Last NPPES UpdateFebruary 25, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1366033359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
11936 W 119TH ST # 158, Overland Park, KS 66213
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIA SHEELENE GODDARD M.D.
Surgery
11936 W 119TH ST # 158
OVERLAND PARK, KS 66213
Johnson County (913) 735-9044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Goddard Medical, LLC's NPI number?

The NPI number for Goddard Medical, LLC is 1366033359. It was assigned to this organization in the NPPES registry on February 1, 2021.

Where is Goddard Medical, LLC located?

Goddard Medical, LLC is located at 11936 W 119th St # 158, Overland Park, KS 66213. The listed phone number is (913) 735-9044.

What is Goddard Medical, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Goddard Medical, LLC was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.