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

IV Godzdanker, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104239540

IV Godzdanker, MD is an Emergency Medicine in Phoenix, Arizona. Qualified in 2014, 12 years ago. Practices with Flagstaff Emergency Physicians, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2014
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

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5808
Fax: (602) 344-5907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 269 S Candy Ln, Cottonwood, AZ 86326-4158 — (928) 639-6172

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 54281 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104239540
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2014
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Flagstaff Emergency Physicians — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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