1790745487 NPI number — JEREMY DALTON GOODWIN M.D.

Table of content: JEREMY DALTON GOODWIN M.D. (NPI 1790745487)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790745487 NPI number — JEREMY DALTON GOODWIN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GOODWIN
Provider First Name:
JEREMY
Provider Middle Name:
DALTON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790745487
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/18/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
431 S 3RD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GADSDEN
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35901-5210
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-547-0433
Provider Business Mailing Address Fax Number:
256-547-0460

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
431 S 3RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GADSDEN
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35901-5210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-547-0433
Provider Business Practice Location Address Fax Number:
256-547-0460
Provider Enumeration Date:
03/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  24747 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 102I082199 . This is a "MEDICARE PTAN" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 511-69544 . This is a "BLUE CROSS BLUE SHIELD LOCATION ID NUMBER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 10270G2201 . This is a "MEDICARE GROUP PTAN" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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