Kevin David Goodman in Johnson City - Emergency Medicine

Kevin David Goodman - NPI 1528224334

Kevin David Goodman is a Emergency Medicine in Johnson City, New York. Kevin David Goodman practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Kevin David Goodman is 1528224334. The last update date is 2015-07-17.

Kevin David Goodman's current location address is 346 Grand Ave, Johnson City, New York. You can contact this provider via phone number 6077636412 and fax number 6077635854. The mailing address for Kevin David Goodman is 346 Grand Ave, Johnson City, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin David Goodman
Address 346 Grand Ave, Johnson City, New York
Phone Number 6077636412
Fax Number 6077635854
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1528224334
Provider Enumeration Date 2008-07-31
Last Updated Date 2015-07-17

Provider Mailing Address Detail

Address 346 Grand Ave
City Johnson City
State New York (NY)
Post Code 137902580
Phone Number 6077636412
Fax Number 6077635854

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No MT189347
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3349066 NY --

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FAQs about Kevin David Goodman

What is the unique identifier code issued to Kevin David Goodman by the Centers for Medicare & Medicaid Services (CMS)?

The Kevin David Goodman has been assigned the NPI (National Provider Identifier) 1528224334. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Kevin David Goodman's facilities are situated?

The facilities of Kevin David Goodman are physically located at the following address: 346 Grand Ave, Johnson City, NY, 137902580.

What is Kevin David Goodman's area of expertise and its corresponding taxonomy classification?

The Kevin David Goodman's field of specialization is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1528224334 to Kevin David Goodman?

The Kevin David Goodman received its 1528224334 assignment from the Centers for Medicare & Medicaid Services on 2008-07-31.

When was the information related to Kevin David Goodman most recently updated or refreshed?

The details pertaining to the Kevin David Goodman, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-07-17.

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