- Practice location
- 887 Congress St Ste 100, Portland, ME 04102-3100
- Phone
- 207-662-5522
- Fax
- 207-662-5524
- Last updated
- January 9, 2019
Amanda Goddard is a Pediatrics, Pediatric Infectious Diseases based in Portland, ME. Amanda Goddard practices in Portland, ME and has the professional credentials of MD. The NPI Number for Amanda Goddard is 1699959163 and holds a License No. 60019802 (WA). The current practice location address for Amanda Goddard is 887 Congress St Ste 100, Portland, ME 04102-3100 and can be reached out via phone at 207-662-5522 and via fax at 207-662-5524.
Provider Profile Details
- NPI Number
- 1699959163
- Provider Name
- Amanda Goddard
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 887 Congress St Ste 100, Portland, ME 04102-3100
- Phone Number
- 207-662-5522
- Fax Number
- 207-662-5524
- Primary Taxonomy
- Pediatrics, Pediatric Infectious Diseases · 2080P0208X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 19, 2007
- Last Update Date
- January 9, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 887 Congress St Ste 100
Portland, ME 04102-3100 - City
- Portland
- State
- Maine
- Zip
- 04102-3100
- Phone Number
- 207-662-5522
- Fax Number
- 207-662-5524
Provider Business Mailing Address Details
- Address
- 35 Nutter Way
Scarborough, ME 04074-8715 - City
- Scarborough
- State
- ME
- Zip
- 04074-8715
- Phone Number
- 781-608-3339
License Information
- License Number (1)
- 60019802
- License State (1)
- WA
- Taxonomy (1)
- Pediatrics · 208000000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 247365
- License State (3)
- MA
- Taxonomy (3)
- Pediatrics · 208000000X
- License Number (4)
- MD22632
- License State (4)
- ME
- Taxonomy (4)
- Pediatrics, Pediatric Infectious Diseases · 2080P0208X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics, Pediatric Infectious Diseases providers near Portland, ME
View all Pediatrics, Pediatric Infectious Diseases providers in Portland →- Dr. Carol Mccarthy, MDPediatrics, Pediatric Infectious Diseases · NPI 1356375950
- Jennifer K Jubulis, MDPediatrics, Pediatric Infectious Diseases · NPI 1457489742
- Justin D Wendler, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1518885672
- MainehealthGeneral Acute Care Hospital · NPI 1467352344
- MainehealthGeneral Acute Care Hospital · NPI 1356241327
- MainehealthGeneral Acute Care Hospital · NPI 1790685774
Frequently Asked Questions
What is the NPI number of Amanda Goddard, MD?
The NPI number of Amanda Goddard, MD is 1699959163. It was assigned on December 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Amanda Goddard, MD?
Amanda Goddard, MD is registered under the primary taxonomy Pediatrics, Pediatric Infectious Diseases (code 2080P0208X), licensed in WA under license number 60019802.
Where does Amanda Goddard, MD practice?
The practice location is 887 Congress St Ste 100, Portland, ME 04102-3100. The office can be reached at 207-662-5522 (phone) or 207-662-5524 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699959163 directly on the NPPES registry website.