DR. JASON EDWARD GOODMAN (NPI# 1114199189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114199189 |
| Entity Type | Individual |
| Full Name | DR. JASON EDWARD GOODMAN |
| Credential | M.D, |
| Practice Address |
1115 Woodland Dr Elizabethtown KY 42701-2749 |
| Practice Telephone | 2707695963 |
| Practice Fax Number | 2707699051 |
| Mailing Telephone | 2707695963 |
| Mailing Fax Number | 2707699051 |
| Enumeration Date | 2008-03-29 |
| Last Update Date | 2012-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | R1967 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871913244 | Jason Michael Goodman | Internal Medicine | 111 Osborne St Fl 3, Danbury, CT 06810-6000 | 2014-04-23 |
| 1912046889 | Jason Corey Goodman | Chiropractor | 27 Walnut Knoll Ct, Saint Charles, MO 63304-4549 | 2007-02-06 |
| 1447275110 | Jason Elliott Goodman | Internal Medicine | 7602 Belair Road, Baltimore, MD 21236 | 2006-07-13 |
| 1235768789 | Jason Jonathan Goodman | Student in an Organized Health Care Education/Training Program | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-04-06 |
| 1669013702 | Jason Michael Goodman | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2019-09-30 |
| 1407308075 | Jason Goodman | Nurse Practitioner | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2016-10-31 |
| Street Address |
1115 WOODLAND DR |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013992460 | Amy Preen | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2005-12-08 |
| 1245709849 | Lauren Ford | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2018-11-13 |
| 1295190312 | Kimberly S. Barnes | Advanced Practice Midwife | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2015-12-16 |
| 1215229240 | Tracy Johnson | Nurse Practitioner | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2011-05-10 |
| 1629125083 | Chantel Eve Unseld | Nurse Practitioner | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2007-01-05 |
| 1427151430 | Myra A Henderson | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| 1497858641 | David A Hamilton Sr. | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| 1760585988 | Elizabethtown Physicians for Women,psc | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| 1831292077 | Lucian Y Moreman II | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| 1639272602 | Ruth A Mcconnell | Nurse Practitioner | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609954304 | Elizabeth D. Sebree | Obstetrics & Gynecology | 2409 Ring Rd, Suite 101, Elizabethtown, KY 42701-5933 | 2006-11-01 |
| 1598859209 | Lancaster Hma Physician Management Inc. | Obstetrics & Gynecology | 300 Continental Dr., Elizabethtown, PA 17022 | 2006-10-03 |
| 1124125422 | Martyn Dean Woleben | Obstetrics & Gynecology | 300 E Mckay St., Ste F, Elizabethtown, NC 28337 | 2006-09-20 |
| 1063525962 | Canh Jeff V Vo | Obstetrics & Gynecology | 551 Westport Rd Ste D, Elizabethtown, KY 42701-2950 | 2006-08-16 |
| 1467484543 | Lynne Macco | Obstetrics & Gynecology | 75 Park Street, Gyn Clinic, Elizabethtown, NY 12932-0277 | 2006-07-07 |
| 1841250966 | Michael Steven Nethers | Obstetrics & Gynecology | 1201 Woodland Dr, Elizabethtown, KY 42701-2709 | 2006-03-23 |
| 1013992460 | Amy Preen | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2005-12-08 |
| 1770567802 | Kathleen E Heer | Obstetrics & Gynecology | 300 E Mckay St Ste F, Elizabethtown, NC 28337-9037 | 2005-12-01 |
| 1346236148 | Donald E Brown Jr. | Obstetrics & Gynecology | 300f East Mckay Street, Elizabethtown, NC 28337 | 2005-09-27 |
| 1245709849 | Lauren Ford | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2018-11-13 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.