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Edmond Godbout, PA

NPI 1710991955ActiveIndividual· Physician Assistant· Providence, RI

Physician Assistant (PA) in Providence, Rhode Island, licensed in RI, with an NPI issued in July 2006. Part D covered 49 prescriptions written in 2024, 76% of them generic.

Overview

NPI1710991955
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedJul 27, 2006
Last updated in NPPESFeb 19, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA00090RI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (RI)

Part D prescriptions in 2024

Prescriptions (claims)49 · 111 30-day fills
Total drug cost$11,663
Generic share76% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Providence

All 268 physician assistants in Providence · All physician assistants in Rhode Island