DR. JEANNE MACKENZIE GOODSPEED (NPI# 1396859468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396859468 |
| Entity Type | Individual |
| Full Name | DR. JEANNE MACKENZIE GOODSPEED |
| Credential | MD |
| Practice Address |
3100 Kennard St Maplewood MN 55109 |
| Mailing Address |
1688 Ashland Ave Saint Paul MN 55104-6157 |
| Practice Telephone | 6512327800 |
| Mailing Telephone | 6516450443 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 48278 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
3100 KENNARD ST |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598756157 | William B Hicks | Allergy & Immunology | 3100 Kennard St, Maplewood, MN 55109-5439 | 2005-11-02 |
| 1316495401 | Thomas Grove Wilson | Nurse Practitioner | 3100 Kennard St, Suite 100, Maplewood, MN 55109-5465 | 2016-09-16 |
| 1982842290 | Healtheast Care System | Non-Pharmacy Dispensing Site | 3100 Kennard St, 100, Maplewood, MN 55109-4569 | 2009-01-23 |
| 1003014911 | John Paul Berger | Internal Medicine | 3100 Kennard St, Suite 250, Maplewood, MN 55109-5465 | 2007-07-03 |
| 1770600884 | Stephanie J Fox | Allergy & Immunology | 3100 Kennard St, Maplewood, MN 55109-5465 | 2007-03-23 |
| 1902986698 | Carol Lu | Internal Medicine | 3100 Kennard St, Ste 100, Maplewood, MN 55109-5465 | 2006-10-17 |
| 1568559888 | Christopher Neville Ussher | Internal Medicine | 3100 Kennard St, Maplewood, MN 55109-5465 | 2006-10-06 |
| 1467497610 | Kent Davis Bergh | Family Medicine | 3100 Kennard St, Suite 100 Healtheast Physician Service, Maplewood, MN 55109 | 2006-06-19 |
| 1437198694 | Thomas G Dashiell | Internal Medicine | 3100 Kennard St, Ste 100, Maplewood, MN 55109-5465 | 2006-06-05 |
| 1073569943 | Healtheast Medical Research Institute Dba Healtheast Physician Service | Durable Medical Equipment & Medical Supplies | 3100 Kennard St, Suite 100, Maplewood, MN 55109-4569 | 2006-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205923489 | Linnie A Aragones | Pediatrics | 2130 Millburn Ave Ste C5, Maplewood, NJ 07040-3747 | 2006-10-06 |
| 1467569632 | Stacia A Rivers | Pediatrics | 2165 White Bear Ave - Mail Stop 31600a, Healthpartners Maplewood Clinic, Maplewood, MN 55109 | 2006-08-24 |
| 1225003866 | Mary K Brown | Pediatrics | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2006-02-17 |
| 1104359843 | Madeline Paul | Pediatrics | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2017-04-10 |
| 1164836821 | Elizabeth Placzek | Pediatrics | 2165 White Bear Ave N, Maplewood, MN 55109-2707 | 2014-06-19 |
| 1730445321 | Shivgami Arora | Pediatrics | 2165 White Bear Ave N, Maplewood, MN 55109 | 2012-04-08 |
| 1508038969 | Elizabeth Dalstrom Pai | Pediatrics | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2008-03-26 |
| 1891701595 | Severiano Fajardo Sanjuan Jr. | Pediatrics | 2040 Millburn Ave, Suite 302, Maplewood, NJ 07040-3726 | 2006-08-01 |
| 1912932351 | Robert Mayrand | Pediatrics | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2006-07-12 |
| 1902833833 | Kristin Sanders-gendreau | Pediatrics | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2006-06-27 |
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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.