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

Jesse Goddard, MD

Individual provider Surgery Physician · NPI 1093917221

Jesse Goddard, MD is a General Surgery in Lancaster, Pennsylvania. Qualified in 2007, 19 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
19
Licensed in
PA
In the registry since
2007
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

2106 Harrisburg Pike Ste 310
Lancaster, PA 17601-2644
Phone: (717) 544-5945
Fax: (717) 544-5944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence MD459118 (PA)
Surgery Physician Taxonomy 208600000X · Licence MD459118 (PA)

Record details

NPI number1093917221
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 1, 2007
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address2106 Harrisburg Pike Ste 310, Lancaster, PA 17601-2644

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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