Individual
ALAN ARNOLD GODOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7500 STATE RD, ANESTHESIA INTENSIVE CARE CONSULTANTS INC, CINCINNATI, OH 45255-2439
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, STE 258 ANETHESIA INTENSIVE CARE CONSULTANTS INC, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35 05 3644G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000012632
ANTHEM BLUE SHIELD
—
01
—
00000077648
ANTHEM
—
05
—
0713240
—
OH
01
—
10757864
CAQH
—
05
—
200377690
—
IN
01
—
31 1105593
TAX ID
—
01
—
311585770 1659350494
HEALTHNET
—
05
—
64027980
—
KY
01
—
728016
BUCKEYE
—
Enumeration date
11/10/2005
Last updated
09/22/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us