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

Dr. Dwight Justin Goddard, MD

Individual provider Family Medicine Physician · NPI 1407835572

Dr. Dwight Justin Goddard, MD is a Family Practice in Newark, Ohio. Graduated from University of California, Geffen School of Medicine in 1987, 39 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group and accepts Medicare assignment. Licensed in California and Ohio.

Years since qualifying
39
Trained at
University of California, Geffen School of Medicine
Licensed in
CA, OH
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

270 Goosepond Rd
Newark, OH 43055-3104
Phone: (220) 564-7960
Fax: (220) 564-7961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35.137356 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence G63539 (CA)

Record details

NPI number1407835572
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 17, 2006
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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