DR. ELI G GOODMAN


Address: 1600 W Walnut St, Jacksonville, IL 62650-1136
Phone: 2174795890

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
036113160 IL Allopathic & Osteopathic Physicians

Other Providers ELI GOODMAN

NPI Name Taxonomy Address Enumeration
1619212149 Eli Nathan Goodman Pathology 6600 Northside High School Rd, Roanoke, VA 24019-2825 2012-12-10

Office Location

Street Address 1600 W WALNUT ST
City JACKSONVILLE
State IL
Zip Code 62650-1136

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City JACKSONVILLE
Zip Code 62650

Improve Information

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Dataset Information

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.

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