Individual
JOEL GODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, IN10, CLEVELAND, OH 44195-0001
(216) 986-4000
Mailing address
9500 EUCLID AVE, IN10, CLEVELAND, OH 44195-0001
(216) 986-4000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35068621
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130052
ANTHEMBC/BS
OH
05
—
0163540
—
OH
01
—
060054121
RAILROAD MEDICARE
OH
Enumeration date
06/12/2006
Last updated
10/26/2011
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