Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Dylan Gene Godyn, PA-C

Individual provider Physician Assistant · NPI 1407471105

Mr. Dylan Gene Godyn, PA-C is a Physician Assistant in Smithfield, Rhode Island. Qualified in 2020, 6 years ago. Practices with Rhode Island Hospital, a 428-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9 Summer Ct
Smithfield, RI 02917-1868
Phone: (401) 952-9477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1407471105
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 9, 2020
Last updated in NPPESJune 9, 2020
Certification dateJune 9, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rhode Island Hospital — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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