John Gordon Goddard in Shreveport - Family Medicine
John Gordon Goddard - NPI 1629008214
John Gordon Goddard is a Family Medicine in Shreveport, Louisiana. John Gordon Goddard practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John Gordon Goddard is 1629008214. The last update date is 2007-10-31.
John Gordon Goddard's current location address is 1666 E Bert Kouns Industrial Loop, Shreveport, Louisiana. You can contact this provider via phone number 3182123750 and fax number 3182123755. The mailing address for John Gordon Goddard is 1666 E Bert Kouns Industrial Loop, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Gordon Goddard |
|---|---|
| Address | 1666 E Bert Kouns Industrial Loop, Shreveport, Louisiana |
| Phone Number | 3182123750 |
| Fax Number | 3182123755 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629008214 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2007-10-31 |
Provider Mailing Address Detail
| Address | 1666 E Bert Kouns Industrial Loop |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711055714 |
| Phone Number | 3182123750 |
| Fax Number | 3182123755 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 15478R |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1466760 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Gordon Goddard by the Centers for Medicare & Medicaid Services?
The John Gordon Goddard has been issued the NPI (National Provider Identifier) 1629008214 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the John Gordon Goddard's physical address?
The John Gordon Goddard is physically located at 1666 E Bert Kouns Industrial Loop, in the city of Shreveport, LA, with the postal code 711055714.
What is John Gordon Goddard's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Gordon Goddard'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 John Gordon Goddard receive the assignment of its 1629008214 from the Centers for Medicare & Medicaid Services?
The John Gordon Goddard was issued its 1629008214 by the Centers for Medicare & Medicaid Services on 2006-07-03.
When was the information regarding John Gordon Goddard, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John Gordon Goddard, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-31.
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