Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Goddard Medical, LLC

Organization General Practice Physician · NPI 1366033359

Goddard Medical, LLC is a General Practice Physician in Overland Park, Kansas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11936 W 119th St # 158
Overland Park, KS 66213-2216
Phone: (913) 735-9044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1366033359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Goddard — Chief Executive Officer · (913) 735-9044
NPI enumeratedFebruary 1, 2021
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 8, 2021
Mailing address11936 W 119th St # 158, Overland Park, KS 66213-2216

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