Jason Elliott Goodman in Baltimore - Internal Medicine

Jason Elliott Goodman - NPI 1447275110

Jason Elliott Goodman is a Internal Medicine in Baltimore, Maryland. Jason Elliott Goodman practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jason Elliott Goodman is 1447275110. The last update date is 2009-12-14.

Jason Elliott Goodman's current location address is 7602 Belair Road, Baltimore, Maryland. You can contact this provider via phone number 4106638100 and fax number 4106638119. The mailing address for Jason Elliott Goodman is 7602 Belair Road, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Elliott Goodman
Address 7602 Belair Road, Baltimore, Maryland
Phone Number 4106638100
Fax Number 4106638119
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1447275110
Provider Enumeration Date 2006-07-13
Last Updated Date 2009-12-14

Provider Mailing Address Detail

Address 7602 Belair Road
City Baltimore
State Maryland (MD)
Post Code 21236
Phone Number 4106638100
Fax Number 4106638119

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No D55846
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4134320-00 MD --
613816-01 MD BLUE CROSS/BLUE SHIELD

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FAQs about Jason Elliott Goodman

What is the unique provider identifier assigned to Jason Elliott Goodman?

The Jason Elliott Goodman has been issued the NPI (National Provider Identifier) 1447275110 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Jason Elliott Goodman is located?

The Jason Elliott Goodman is situated at the following address: 7602 Belair Road, Baltimore, MD, 21236.

What is Jason Elliott Goodman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jason Elliott Goodman is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date did Jason Elliott Goodman receive its 1447275110 assignment from the Centers for Medicare & Medicaid Services?

The Jason Elliott Goodman was assigned its 1447275110 on 2006-07-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jason Elliott Goodman most recently updated or revised?

The details related to Jason Elliott Goodman, including its address, specialty, and other relevant information, were last updated or revised on 2009-12-14.

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