Jesse Goddard is a Trauma Surgery in York, Pennsylvania. Jesse Goddard practices all healthcare services and medical treatments related to Trauma Surgery. The NPI Number for Jesse Goddard is 1093917221. The last update date is 2022-07-21.
Jesse Goddard's current location address is 3421 Concord Rd, York, Pennsylvania. You can contact this provider via phone number 7178516110 and fax number 7178482074. The mailing address for Jesse Goddard is 3421 Concord Rd, York, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse Goddard |
|---|---|
| Address | 3421 Concord Rd, York, Pennsylvania |
| Phone Number | 7178516110 |
| Fax Number | 7178482074 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093917221 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 3421 Concord Rd |
|---|---|
| City | York |
| State | Pennsylvania (PA) |
| Post Code | 174029001 |
| Phone Number | 7178516110 |
| Fax Number | 7178482074 |
Provider's Primary Taxonomy Detail
| Speciality | Trauma Surgery |
|---|---|
| Taxonomy | 2086S0127X |
| Licence No | 46080 |
|
Definition: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, ty |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103179835 | PA | -- | |
| PO1804579 | PA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jesse Goddard by the Centers for Medicare & Medicaid Services?
The Jesse Goddard has been assigned the NPI (National Provider Identifier) 1093917221 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Jesse Goddard's physical address?
The Jesse Goddard is physically located at 3421 Concord Rd, in the city of York, PA, with the postal code 174029001.
What is Jesse Goddard's area of expertise and its corresponding taxonomy classification?
The Jesse Goddard's field of specialization is Trauma Surgery, and it falls under the taxonomy code 2086S0127X, which categorizes healthcare providers based on their areas of practice.
When was the Jesse Goddard's 1093917221 issued?
The Jesse Goddard's 1093917221 was issued on 2007-06-01.
As of what date were the Jesse Goddard's details last updated?
The information pertaining to the Jesse Goddard, including its address, specialty, and other details, was most recently updated on 2022-07-21.
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