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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY GODINICH PA-C
NPI 1902624265
Physician Assistant in Oklahoma City, OK

Active since September 26, 2024
11011 HEFNER POINTE DR STE A, OKLAHOMA CITY, OK 73120(405) 479-8300 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Jan 9, 2026, Sep 26, 2024 (3 updates tracked since 2024).

About Mary Godinich Pa-c NPPES

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

MARY GODINICH PA-C (NPI 1902624265) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (5689) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1902624265
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY GODINICHCredential: PA-C
Location Address11011 HEFNER POINTE DR STE AOklahoma City, OK 73120-5005
Mailing Address11011 Hefner Pointe Dr Ste AOklahoma City, OK 73120-5005
Phone(405) 479-8300
Sole ProprietorNo
Enumeration DateSeptember 26, 2024
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1902624265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OK · 5689
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11011 HEFNER POINTE DR STE A, Oklahoma City, OK 73120
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Other Names 1

Former Name (1)Mary Haugland

Other Providers at the Same Location NPPES

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

LAKESIDE PEDIATRICS PC
Pediatrics
11011 HEFNER POINTE DR STE A
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 479-8300

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 Mary Godinich's NPI number?

The NPI number for Mary Godinich is 1902624265. It was assigned to this individual provider in the NPPES registry on September 26, 2024. The provider is also known as Mary Haugland.

Where is Mary Godinich located?

Mary Godinich practices at 11011 Hefner Pointe Dr Ste A, Oklahoma City, OK 73120. The listed phone number is (405) 479-8300.

What is Mary Godinich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mary Godinich was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.