DR. ELI G GOODMAN (NPI# 1053405589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053405589 |
Entity Type | Individual |
Full Name | DR. ELI G GOODMAN |
Credential | MD |
Practice Address |
1600 W Walnut St Jacksonville IL 62650-1136 |
Practice Telephone | 2174795890 |
Mailing Telephone | 2174795890 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2016-12-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
036113160 | IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619212149 | Eli Nathan Goodman | Pathology | 6600 Northside High School Rd, Roanoke, VA 24019-2825 | 2012-12-10 |
Street Address |
1600 W WALNUT ST |
City | JACKSONVILLE |
State | IL |
Zip Code | 62650-1136 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609873249 | Charles Milton Sheaff | Surgery | 1600 W Walnut St, East Wing 2nd Floor, Jacksonville, IL 62650-1136 | 2005-06-28 |
1528690799 | Holly Diane Pennell | Nurse Practitioner | 1600 W Walnut St, Jacksonville, IL 62650-1136 | 2020-02-06 |
1669004081 | Elizabeth Ann Johnson | Nurse Practitioner | 1600 W Walnut St, Jacksonville, IL 62650-1136 | 2020-02-05 |
1164053526 | Kayla Christine Vickers | Physical Therapist | 1600 W Walnut St, Jacksonville, IL 62650-1136 | 2020-02-03 |
1366912040 | Kelsi Lynn Dobson | Social Worker | 1600 W Walnut St, Jacksonville, IL 62650-1136 | 2018-11-26 |
1114402518 | Michelle Lee Geiss | Nurse Practitioner | 1600 W Walnut St, Jacksonville, IL 62650-1136 | 2018-10-02 |
1134606858 | Matthew Pulley | Nurse Practitioner | 1600 W Walnut St, Jacksonville, IL 62650-1136 | 2018-07-25 |
1760994040 | Passavant Memorial Area Hospital Association | Family Medicine | 1600 W Walnut St, Jacksonville, IL 62650-1136 | 2017-10-26 |
1871002238 | Courtney Howell | Social Worker | 1600 W Walnut St, Jacksonville, IL 62650-1136 | 2017-09-28 |
1831639194 | Carrie Elizabeth Janus | Nurse Practitioner | 1600 W Walnut St, The Center for Psychiatric Health, Jacksonville, IL 62650-1136 | 2017-03-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
Find all providers in zip 62650 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255647715 | Vanessa Seiglie Quinones | Internal Medicine | 841 Prudential Dr Ste 180, Jacksonville, FL 32207-8350 | 2010-08-23 |
1942494984 | Samira Khazravan | Internal Medicine | 1200 Riverplace Blvd, 620, Jacksonville, FL 32207-9046 | 2007-09-04 |
1861699753 | Bankim Patel | Internal Medicine | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2007-07-02 |
1750448163 | Physician Associates of Jacksonville, Pa | Internal Medicine | 2700 Riverside Avenue, Suite#14, Jacksonville, FL 32205 | 2007-01-03 |
1780799395 | Judith Ann Harrison | Internal Medicine | 1833 Boulevard, Jacksonville, FL 32206-4382 | 2006-08-21 |
1245255488 | East Carolina Medical Associates P.c | Internal Medicine | 25 Office Park Dr, Jacksonville, NC 28546-3219 | 2006-07-12 |
1164416806 | Abayomi W. Osunkoya | Internal Medicine | 25 Office Park Dr, Jacksonville, NC 28546-3219 | 2005-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477058378 | Ranim Mira | Internal Medicine | 4021 W Belle Plaine Ave # Ge, Chicago, IL 60641-2412 | 2018-03-24 |
1518351758 | Vania Leung | Internal Medicine | 2600 S Michigan Ave Ste 205, Chicago, IL 60616-2857 | 2015-03-25 |
1699174540 | Hatem Hassaballa | Internal Medicine | 840 S Wood St Fl 4, Suite 409 (m/c 717), Chicago, IL 60612-4325 | 2014-08-16 |
1528495470 | Home Care Doctors of Illinois Inc | Internal Medicine | 121 Fairfield Way Ste 312, Bloomingdale, IL 60108-1585 | 2013-10-08 |
1699059857 | We Care for Seniors Ltd | Internal Medicine | 501 Ashbury Ct, Lemont, IL 60439-8422 | 2011-10-06 |
1508181108 | Francina Miguelina Peralta Machado | Internal Medicine | 3046 127th St, Blue Island, IL 60406-1827 | 2010-04-07 |
1295976892 | Woodridgeclinic-lemont | Internal Medicine | 15884 W 127th St, Suite H, Lemont, IL 60439-7422 | 2009-03-12 |
1609037498 | Katya Yanira Cruz Madrid | Internal Medicine | 840 S. Wood St, Mic 717 Suite 409, Chicago, IL 60612 | 2008-06-24 |
1326209446 | Downers Grove Geriatrics, LLC | Internal Medicine | 3800 Highland Ave Ste 111, Downers Grove, IL 60515-1558 | 2008-06-20 |
1801060538 | Ronald James Grason | Internal Medicine | 357 W Decatur St, Decatur, IL 62522 | 2008-04-14 |
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City | JACKSONVILLE |
Zip Code | 62650 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.