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

Douglas Goderwis, MD

Individual provider Pediatrics Physician · NPI 1760439095

Douglas Goderwis, MD is an Internal Medicine in Florence, Kentucky. Graduated from University of Louisville School of Medicine in 1987, 39 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
39
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7300 Turfway Rd
Florence, KY 41042-1375
Phone: (859) 212-4700
Fax: (859) 212-4761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 27947 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 27947 (KY)

Record details

NPI number1760439095
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2006
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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