Amanda Goddard

MD | Pediatric Infectious Diseases | Female

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Complete Profile:

Amanda Goddard basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Infectious Diseases
Provider Name :	Amanda Goddard
Credential :	MD
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Amanda Goddard address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	887 Congress St Ste 100 Portland, ME, 04102-3100 United States
Phone Number :	207-662-5522
Fax Number :	207-662-5524

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1699959163
NPI Entity Type :	Individual
First Enrolment Date :	19 Dec, 2007
Last Updated On :	09 Jan, 2019

Medicare Participation:

Amanda Goddard participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9335318609
Medicare Enrollment ID :	I20190206001301
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Massachusetts Medical School
Graduation Year :	2005
Accepts Medicare?	Yes. Amanda Goddard accepts medicare insurance.

Group Practice Association:

Amanda Goddard is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Amanda Goddard is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Maine Medical Partners	9335043967	808	887 Congress St Suite 300 Portland, ME - 041023103 Ph: 2076625555	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amanda Goddard are as mentioned. Primary taxonomy code for Amanda Goddard, MD is 2080P0208X (Pediatrics Pediatric Infectious Diseases).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	247365	MA
208000000X	Pediatrics	No	60019802	WA
2080P0208X	Pediatrics Pediatric Infectious Diseases	Yes	MD22632	ME
390200000X	Student in an Organized Health Care Education/Training Program	No

Other Practice Locations:

Practice Address	City, State	Phone Number
800 WASHINGTON ST, MAILBOX 201 BOSTON, MA, 02111-1552 United States	BOSTON, MA	617-636-8100

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	35 Nutter Way Scarborough, ME, 04074-8715 United States
Phone Number :	781-608-3339

Business Location:

Patients can refer following map for directions to Amanda Goddard practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.