| James K Goddard Iii, MD | |
|
2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 | |
| (651) 292-2000 | |
| Not Available |
| Full Name | James K Goddard Iii |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 2355 Highway 36 W Ste 100, Roseville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770562639 | NPI | - | NPPES |
| 176682100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 46729 (Minnesota) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 46729 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | University Of Minnesota Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
| Entity Name | Grand Itasca Clinic And Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | North Memorial Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Lac Qui Parle Clinic Of Madison Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144266156 PECOS PAC ID: 5799727707 Enrollment ID: O20050531000484 |
| Entity Name | Hutchinson Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053508820 PECOS PAC ID: 0345330072 Enrollment ID: O20080312000695 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | St. Croix Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20110929000165 |
| Entity Name | Altru Health System |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20111020000173 |
| Entity Name | Pembina County Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417093949 PECOS PAC ID: 4789643719 Enrollment ID: O20120921000536 |
| Entity Name | Towner County Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124041389 PECOS PAC ID: 6800798497 Enrollment ID: O20160111001169 |
| Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
| Entity Name | Madison Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942246848 PECOS PAC ID: 9638080187 Enrollment ID: O20160809000563 |
| Entity Name | Healthpartners Rc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1629091871 PECOS PAC ID: 5890126726 Enrollment ID: O20200511000391 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Entity Name | Lutheran Charity Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700038981 PECOS PAC ID: 2264341031 Enrollment ID: O20240216001117 |
| Mailing Address | Practice Location Address |
|---|---|
| James K Goddard Iii, MD 2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 Ph: (651) 292-2000 | James K Goddard Iii, MD 2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 Ph: (651) 292-2000 |
Dr. Amanjit Singh Baadh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-0000 | |
Dr. Jonathan P Williams, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Dr. Grant Michael Riesberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Jorge A Leon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
John P Knoedler Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Robert John Hosker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 Fax: 651-681-1140 | |
Jennifer Ashley Knight, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 |