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

Goddard Medical, LLC

Organization General Practice Physician · NPI 1366033359

Goddard Medical, LLC provides General Practice Physician services in Overland Park, Kansas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11936 W 119th St # 158
Overland Park, KS 66213-2216
Phone: (913) 735-9044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1366033359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Goddard — Chief Executive Officer · (913) 735-9044
NPI enumeratedFebruary 1, 2021
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 8, 2021
Mailing address11936 W 119th St # 158, Overland Park, KS 66213-2216

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