DR. RAE JEANNA GODSEY D.O. NPI 1124024088

NPI Information

NPI: 1124024088
Provider Name: DR. RAE JEANNA GODSEY, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
2100 MARKET ST
STE 100
CHARLESTOWN, IN
ZIP 47111
Phone: (812) 256-0700
Get Directions

DR. Rae Jeanna Godsey, D.O. is a family medicine in Charlestown, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Rae Jeanna Godsey, D.O. NPI is 1124024088. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2100 MARKET ST
STE 100
CHARLESTOWN, IN
ZIP 47111-535
Phone: (812) 256-0700
Fax: (812) 256-0704

The enumeration date for this NPI number is 6/24/2005 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		02002615A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200441850A	MEDICAID	INDIANA
2	7022469	OTHER		AETNA
3	1209485	OTHER	INDIANA	CHA HEALTH
4	000000301780	OTHER		ANTHEM
5	02002615A	OTHER	INDIANA	STATE LICENSE
6	15D1020413	OTHER		CLIA
7	64079213	MEDICAID	KENTUCKY
8	907008	OTHER		USA MCO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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