MARK KIMBALL GODDARD (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1124101621

Critical Care Medicine (Internal Medicine) Physician

MARK KIMBALL GODDARD (M.D.) is a healthcare provider. based in Murray, Utah. specializing in Critical Care Medicine (Internal Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. MD26606 (OR). The NPI Number for MARK KIMBALL GODDARD (M.D.) is 1124101621

Main info

Male

33 Years Of Experience

Accepts Medicare Assignment

Name

MARK KIMBALL GODDARD (M.D.)

NPI

1124101621

Phone

(801) 507-4000

Address

5121 S. COTTONWOOD STREET

Enumeration Date

20 October 2006

Last Update Date

21 January 2009

Doctor Profile

Medical School Name

UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE

Secondary Phone

Graduation Year

1993 (33 years ago)

PAC ID

1153336219

Group Practice PAC ID

1850209420

Professional Enrollment ID

I20060209000662

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience75

Completeness75

Years active:19State licenses:3Digital endpointsOther names

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Provider Addresses for MARK KIMBALL GODDARD (M.D.)

Cottonwood Street, Murray, Salt Lake County, Utah, 84107, United States
IMC, DIVISION OF PULMONARY/CCM
MURRAY, UT 84123
Phone: (801) 507-4000
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84123)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1850209420View full group profile

Name	Specialty	State
MR. SARUNAS SLIESORAITIS (DO, PHARM D)	-	OR
BRETT A CHRISTIAN (M.D.)	Diagnostic Radiology	UT
STEPHEN CRAIG MERRELL (M.D., M.P.H.)	Family Practice	UT
MIKHAIL SHIPOTKO (MD)	H O S P I T A L I S T	UT
RICHARD OTT (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	UT
MS. SHARON A KORHEL (APRN)	-	UT
DR. TIMOTHY TRASK (M.D.)	-	UT
JAMES F ORME (MD)	-	UT
JUNE C. STEINVORTH (MD)	Family Practice	UT
RYAN NELSON JONES (M.D.)	-	UT

Reviews

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Frequently asked questions

Is MARK KIMBALL GODDARD (M.D.) listed with a National Provider Identifier?

Yes — MARK KIMBALL GODDARD (M.D.) has NPI 1124101621 on file in the registry.

Is MARK KIMBALL GODDARD (M.D.) shown as active in public data?

Registry records indicate MARK KIMBALL GODDARD (M.D.) maintains an active NPI.

How would a patient describe MARK KIMBALL GODDARD (M.D.)'s focus?

For MARK KIMBALL GODDARD (M.D.), the primary taxonomy reads as Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.

What locale is associated with MARK KIMBALL GODDARD (M.D.)?

Directory geography for MARK KIMBALL GODDARD (M.D.) centers on Murray, Utah.

What does 2 location(s) imply?

2 practice locations appear in the available data.