Jeremy Lr Goodwin in Petaluma - Pain Medicine
Jeremy Lr Goodwin - NPI 1366547614
Jeremy Lr Goodwin is a Pain Medicine in Petaluma, California. Jeremy Lr Goodwin practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Jeremy Lr Goodwin is 1366547614. The last update date is 2023-06-06.
Jeremy Lr Goodwin's current location address is 1456 Professional Dr Ste 402, Petaluma, California. You can contact this provider via phone number 7079387951 and fax number 7079387260. The mailing address for Jeremy Lr Goodwin is 1456 Professional Dr Ste 402, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Lr Goodwin |
|---|---|
| Address | 1456 Professional Dr Ste 402, Petaluma, California |
| Phone Number | 7079387951 |
| Fax Number | 7079387260 |
| Sole Proprietor | Y |
| Credentials | MS, MD |
NPI Number Detail
| NPI Number | 1366547614 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2023-06-06 |
Provider Mailing Address Detail
| Address | 1456 Professional Dr Ste 402 |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949546639 |
| Phone Number | 7079387951 |
| Fax Number | 7079387260 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 208Vp0000X |
| Licence No | G76323 |
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Definition: Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and t |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R113031 | OR | NORIDAN | |
| 138326 | OR | OMAP |
Post Comment/ Review Below
What is the Jeremy Lr Goodwin's unique identification number?
The Jeremy Lr Goodwin has been assigned the NPI (National Provider Identifier) Number 1366547614 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jeremy Lr Goodwin's physical address?
The Jeremy Lr Goodwin is physically located at 1456 Professional Dr Ste 402, in the city of Petaluma, CA, with the postal code 949546639.
What is the Jeremy Lr Goodwin's area of specialization and corresponding taxonomy classification?
The Jeremy Lr Goodwin's specialty field is Pain Medicine, and it falls under the taxonomy code 208Vp0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1366547614 to Jeremy Lr Goodwin?
The Jeremy Lr Goodwin received its 1366547614 assignment from the Centers for Medicare & Medicaid Services on 2006-09-13.
As of what date were the details pertaining to Jeremy Lr Goodwin last refreshed?
The information related to the Jeremy Lr Goodwin, including its address, specialty, and other relevant details, was last updated on 2023-06-06.