JEREMY GOOD


Address: 302 W Hay St, Suite 200, Decatur, IL 62526-4167
Phone: 2178778925

JEREMY GOOD (NPI# 1104196294) 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) 1104196294
Entity Type Individual
Full Name JEREMY GOOD
Credential PA
Practice Address 302 W Hay St
Suite 200
Decatur
IL 62526-4167
Mailing Address Po Box 19639
Springfield
IL 62794-9639
Practice Telephone 2178778925
Practice Fax Number 2178770020
Mailing Telephone 2175453787
Enumeration Date 2012-01-05
Last Update Date 2020-06-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 085004264 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers JEREMY GOOD

NPI Name Taxonomy Address Enumeration
1669632253 Jeremy S Good Chiropractor 1599 West River St N, Elyria, OH 44035-2779 2008-06-17
1073078366 Jeremy Michael Good Registered Nurse 1225 Ne 2nd Ave, Portland, OR 97232-2003 2019-01-31

Office Location

Street Address 302 W HAY ST
SUITE 200
City DECATUR
State IL
Zip Code 62526-4167

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063411304 Lee G Endsley Urology 302 W Hay St, Ste 200, Decatur, IL 62526-4167 2005-07-19
1073969044 Nicole Suzette Soper Registered Nurse 302 W Hay St, Decatur, IL 62526-4167 2016-05-10
1629490628 John W. Newlin, M.d., LLC Internal Medicine 302 W Hay St, Suite 130, Decatur, IL 62526-4167 2014-01-09
1811322001 Sneha Kumar Family Medicine 302 W Hay St, Suite 110, Decatur, IL 62526-4167 2013-09-06
1255587176 Midwest Neurology Associates, S.c. Specialist 302 W Hay St, Suite Ll110, Decatur, IL 62526-4167 2008-08-12
1699962209 Steven E Weber, Md, Ltd Surgery 302 W Hay St, Suite 205, Decatur, IL 62526-4167 2007-09-27
1376737346 Sudhakar Konda Family Medicine 302 W Hay St, Lower Level Suite 110, Decatur, IL 62526-6304 2007-08-31
1942333067 Midwest Neurology Associates, S.c. Specialist 302 W Hay St, Suite Ll110, Decatur, IL 62526-4167 2007-03-14
1326191503 Allen Bernard Devleschoward Jr. Specialist 302 W Hay St, Ste 210, Decatur, IL 62526-4167 2007-01-19
1528164951 George Albert Liu Surgery 302 W Hay St, Ste 205, Decatur, IL 62526-4167 2006-09-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083100804 Coalition Non-emergency Medical Transport (VAN) 2375 N Longwood Dr, Decatur, IL 62526 2018-07-04
1881116820 Bria N Howard Nurse's Aide 606 E Warren St. Apt 609, Decatur, IL 62526 2017-07-12
1437683679 Lutheran Child and Family Services Foster Care Agency 2826 N. Monroe Street, Decatur, IL 62526 2017-04-14
1083166326 Whitney Miller Pharmacist 225 East Ash Ave, Decatur, IL 62526 2016-11-03
1487053369 Central Illinois Health Associates, Inc Preferred Provider Organization 2300 N. Edward Street, Decatur, IL 62526 2014-08-18
1659787893 Stephanie Marie Kanitsch Obstetrics & Gynecology 544 W Pershing Rd Ste A, Decatur, IL 62526 2014-07-09
1497169973 Brian Hassinger Audiologist-Hearing Aid Fitter 2605 N Water St Ste 101, Decatur, IL 62526 2014-06-12
1891041570 Decatur 2016 LLC Dentist 141 Epershing Rd, Decatur, IL 62526 2012-07-31
1558639005 Larry Lee Christensen Pharmacist 225 Ash Ave, Decatur, IL 62526 2011-12-12
1174821540 Nathan Pyle Internal Medicine 2 Memorial Dr Ste 101, Decatur, IL 62526 2011-03-08
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598374860 Lauren Nolan Physician Assistant 500 Irvin Ct # 200, Decatur, GA 30030-1705 2020-07-23
1134749930 Elissa Stanton Physician Assistant 1280 Sanden Ferry Dr, Decatur, GA 30033-3346 2020-04-21
1902457138 April Lynette Williams Physician Assistant 3669 Riverchase Ter, Decatur, GA 30034-4876 2019-09-29
1194389353 Katherine Serafen Physician Assistant 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 2019-04-23
1124531249 Carolina Espina Physician Assistant 2665 N Decatur Rd Ste 630, Decatur, GA 30033-6147 2017-11-10
1447703731 Jessica Lin Brewer Physician Assistant 2186 Clairmont Rd, Decatur, GA 30033-1937 2016-08-03
1174972459 Peter Bell Physician Assistant 2946 Clifton Springs Rd, Decatur, GA 30034-3820 2016-06-08
1902299597 Farida Ahmadi Physician Assistant 200 E Ponce De Leon Ave Ste 110, Decatur, GA 30030-3467 2015-03-06
1730431313 Daniel Lau Physician Assistant 2801 N. Decatur Road Suite 200, Decatur, GA 30033 2012-10-08
1720344302 Kanwal Kapadia Lalani Physician Assistant 2665 N Decatur Rd Ste 430, Decatur, GA 30033-6145 2012-04-08
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Competitor

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City DECATUR
Zip Code 62526

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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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