David Goodman in Raleigh - Physician Assistant

David Goodman - NPI 1124072483

David Goodman is a Physician Assistant in Raleigh, North Carolina. David Goodman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for David Goodman is 1124072483. The last update date is 2007-07-08.

David Goodman's current location address is 3000 New Bern Ave, Raleigh, North Carolina. You can contact this provider via phone number 9193508823. The mailing address for David Goodman is 3000 New Bern Ave, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name David Goodman
Address 3000 New Bern Ave, Raleigh, North Carolina
Phone Number 9193508823
Fax Number
Sole Proprietor N
Credentials P.A.-C.

NPI Number Detail

NPI Number 1124072483
Provider Enumeration Date 2006-05-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3000 New Bern Ave
City Raleigh
State North Carolina (NC)
Post Code 276101231
Phone Number 9193508823
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00359037 NC RAILROAD MEDICARE

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FAQs about David Goodman

What is the unique 10-digit identifier code issued to David Goodman by the Centers for Medicare & Medicaid Services?

The David Goodman has been assigned the NPI (National Provider Identifier) 1124072483 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the David Goodman located?

The David Goodman is located at 3000 New Bern Ave, Raleigh, NC 276101231.

What is David Goodman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for David Goodman is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

When did the David Goodman receive its 1124072483?

The David Goodman was issued its 1124072483 on 2006-05-20, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to David Goodman last refreshed?

The information related to the David Goodman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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