Justin B. Mcgoldrick in Jefferson City - Emergency Medicine

Justin B. Mcgoldrick - NPI 1114960101

Justin B. Mcgoldrick is a Emergency Medicine in Jefferson City, Tennessee. Justin B. Mcgoldrick practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Justin B. Mcgoldrick is 1114960101. The last update date is 2007-11-06.

Justin B. Mcgoldrick's current location address is 110 Hospital Dr, Jefferson City, Tennessee. You can contact this provider via phone number 8654712500. The mailing address for Justin B. Mcgoldrick is 110 Hospital Dr, Jefferson City, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Justin B. Mcgoldrick
Address 110 Hospital Dr, Jefferson City, Tennessee
Phone Number 8654712500
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1114960101
Provider Enumeration Date 2006-06-14
Last Updated Date 2007-11-06

Provider Mailing Address Detail

Address 110 Hospital Dr
City Jefferson City
State Tennessee (TN)
Post Code 377605281
Phone Number 8654712500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 35270
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
3865961 TN --
4150060 TN BLUE CROSS
4014592 TN BLUE CROSS
P00189111 TN RAILROAD MEDICARE
3865960 TN --

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FAQs about Justin B. Mcgoldrick

What is the unique identification code assigned to Justin B. Mcgoldrick by the Centers for Medicare & Medicaid Services?

The Justin B. Mcgoldrick has been issued the NPI (National Provider Identifier) 1114960101. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Justin B. Mcgoldrick's facilities are geographically located?

The facilities of Justin B. Mcgoldrick are physically situated at the following location: 110 Hospital Dr, Jefferson City, TN, 377605281.

What is Justin B. Mcgoldrick's specialized field of practice, and what is the corresponding taxonomy classification code?

The Justin B. Mcgoldrick's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114960101 to Justin B. Mcgoldrick?

The Centers for Medicare & Medicaid Services originally issued the 1114960101 to Justin B. Mcgoldrick on 2006-06-14.

As of what date was the information regarding Justin B. Mcgoldrick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Justin B. Mcgoldrick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-06.

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