Jennifer Lynn Goodman in Independence - Foot & Ankle Surgery
Jennifer Lynn Goodman - NPI 1508847013
Jennifer Lynn Goodman is a Foot & Ankle Surgery in Independence, Ohio. Jennifer Lynn Goodman practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Jennifer Lynn Goodman is 1508847013. The last update date is 2012-12-19.
Jennifer Lynn Goodman's current location address is 6701 Rockside Rd, Independence, Ohio. You can contact this provider via phone number 2165200033 and fax number 2167073729. The mailing address for Jennifer Lynn Goodman is 6701 Rockside Rd, Independence, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Lynn Goodman |
|---|---|
| Address | 6701 Rockside Rd, Independence, Ohio |
| Phone Number | 2165200033 |
| Fax Number | 2167073729 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1508847013 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2012-12-19 |
Provider Mailing Address Detail
| Address | 6701 Rockside Rd |
|---|---|
| City | Independence |
| State | Ohio (OH) |
| Post Code | 441312358 |
| Phone Number | 2165200033 |
| Fax Number | 2167073729 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 36003353 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2590398 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Lynn Goodman by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer Lynn Goodman has been assigned the NPI (National Provider Identifier) 1508847013. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jennifer Lynn Goodman?
The Jennifer Lynn Goodman is physically situated at 6701 Rockside Rd, in the city of Independence, state of OH, with the postal code 441312358.
What is the Jennifer Lynn Goodman's specialty and taxonomy code?
The Jennifer Lynn Goodman's specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.
When did the Jennifer Lynn Goodman receive its 1508847013?
The Jennifer Lynn Goodman was issued its 1508847013 on 2005-11-10, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jennifer Lynn Goodman most recently updated or revised?
The information pertaining to Jennifer Lynn Goodman, including its address, specialty, and other relevant details, was last updated or revised on 2012-12-19.