Thomas Perry Goodell in Trinidad - Family Medicine

Thomas Perry Goodell - NPI 1639266950

Thomas Perry Goodell is a Family Medicine in Trinidad, Colorado. Thomas Perry Goodell practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Thomas Perry Goodell is 1639266950. The last update date is 2013-04-10.

Thomas Perry Goodell's current location address is 400 Benedicta Ave, Trinidad, Colorado. You can contact this provider via phone number 7198462206 and fax number 7198450663. The mailing address for Thomas Perry Goodell is 400 Benedicta Ave, Trinidad, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Perry Goodell
Address 400 Benedicta Ave, Trinidad, Colorado
Phone Number 7198462206
Fax Number 7198450663
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1639266950
Provider Enumeration Date 2006-10-06
Last Updated Date 2013-04-10

Provider Mailing Address Detail

Address 400 Benedicta Ave
City Trinidad
State Colorado (CO)
Post Code 810822099
Phone Number 7198462206
Fax Number 7198450663

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 6971A
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
822753335 CO --
119222100 WY --

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FAQs about Thomas Perry Goodell

What is the unique identifier code issued to Thomas Perry Goodell by the Centers for Medicare & Medicaid Services?

The Thomas Perry Goodell has been assigned the NPI (National Provider Identifier) 1639266950. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Thomas Perry Goodell's facilities are situated?

The facilities of Thomas Perry Goodell are physically located at the following address: 400 Benedicta Ave, Trinidad, CO, 810822099.

What is Thomas Perry Goodell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Thomas Perry Goodell's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Thomas Perry Goodell receive its 1639266950 assignment from the Centers for Medicare & Medicaid Services?

The Thomas Perry Goodell was assigned its 1639266950 by the Centers for Medicare & Medicaid Services on 2006-10-06.

As of what date was the information regarding Thomas Perry Goodell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Thomas Perry Goodell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-10.

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