JEREMY GOODMAN (NPI# 1770530776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770530776 |
| Entity Type | Individual |
| Full Name | JEREMY GOODMAN |
| Credential | MD |
| Practice Address |
619 19th St S Birmingham AL 35249-1900 |
| Mailing Address |
Po Box 55310 Birmingham AL 35255-5310 |
| Practice Telephone | 2059344011 |
| Mailing Telephone | 2057319701 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2011-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | MD.28959 | AL | Allopathic & Osteopathic Physicians |
| N | 204F00000X | Transplant Surgery | 49175 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487949780 | Jeremy Haskell Goodman | Dentist | 2530 Riva Rd, Suite 201, Annapolis, MD 21401-7413 | 2011-06-14 |
| 1245890094 | Jeremy Zach Goodman | Student in an Organized Health Care Education/Training Program | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2019-06-14 |
| Street Address |
619 19TH ST S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35249-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838505 | Peggy Calhoun Wilson | Pharmacist | 619 19th St S, Birmingham, AL 35249-1900 | 2005-06-01 |
| 1922607548 | Breck Fowler Hamilton | Registered Nurse | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-24 |
| 1477152650 | Brandi Bailey | Nurse Practitioner | 619 19th St S, Birmingham, AL 35233-1900 | 2020-10-20 |
| 1003415456 | Shannon Marie Harrison | Registered Nurse | 619 19th St S, Birmingham, AL 35233-1900 | 2020-10-17 |
| 1720685886 | Aeriel Flippo Swinsick | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-02 |
| 1477160604 | Lundy Starke Williams | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-01 |
| 1003422320 | Leah York | Registered Nurse | 619 19th St S, Birmingham, AL 35249-1900 | 2020-09-22 |
| 1972123420 | William Chase Cooper | Registered Nurse | 619 19th St S, Birmingham, AL 35233-1900 | 2020-04-24 |
| 1699394494 | Eme Unanaowo | Registered Nurse | 619 19th St S, Spain Wallace Bldg, Birmingham, AL 35233-1900 | 2020-04-11 |
| 1285253369 | Robert Chase Ruffo | Student in an Organized Health Care Education/Training Program | 619 19th St S, Birmingham, AL 35249-1900 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770070682 | Jordan Bauer | Student in an Organized Health Care Education/Training Program | 625 19 Street South, Birmingham, AL 35249 | 2018-04-16 |
| 1356847917 | Kathryn Leonards Sinquefield | Student in an Organized Health Care Education/Training Program | 625 19 Th Street South, Birmingham, AL 35249 | 2018-04-03 |
| 1285167288 | Lauren Marie Theiss | Student in an Organized Health Care Education/Training Program | 625 19th Street S, Birmingham, AL 35249 | 2017-04-06 |
| 1992159040 | Christopher Lee Anderson | Student in an Organized Health Care Education/Training Program | 625 19th St South, Birmingham, AL 35249 | 2016-04-14 |
| 1154715365 | Danielle Demontigny Avila | Internal Medicine | 625 19th St. South, Birmingham, AL 35249 | 2015-03-25 |
| 1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
| 1760828560 | Diana Murro Lin | Pathology | 619 19th St S # Hsb130, Birmingham, AL 35249 | 2013-05-20 |
| 1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
| 1255693149 | William M Perez | Obstetrics & Gynecology | 176f 10360d 619 19th Street South, Birmingham, AL 35249 | 2012-06-15 |
| 1942504642 | Melanie R. Sparks | Nurse Practitioner | 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 | 2011-01-10 |
| Find all providers in zip 35249 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003444993 | Jammie Blair | Transplant Surgery | 701 19th St S # St112, Birmingham, AL 35233-1926 | 2020-03-28 |
| 1518377589 | Margaret Monette Romine | Transplant Surgery | 619 19th St S, Birmingham, AL 35249 | 2014-04-30 |
| 1073756201 | Douglas James Anderson | Transplant Surgery | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2009-04-17 |
| 1447405758 | Samantha H Aitchison | Transplant Surgery | 1720 2nd Ave S, Lhrb 725, Birmingham, AL 35294-0007 | 2008-12-01 |
| 1043483191 | Babak John Orandi | Transplant Surgery | 619 19th St S, Birmingham, AL 35249-2204 | 2008-04-09 |
| 1841462744 | Robert Martyn Cannon | Transplant Surgery | 619 19th St S, Birmingham, AL 35249 | 2008-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134333859 | Phillip Weems | Transplant Surgery | 701 University Blvd E, Suite 604, Tuscaloosa, AL 35401-2086 | 2007-05-10 |
| City | BIRMINGHAM |
| Zip Code | 35249 |
Please comment or provide details below to improve the information on JEREMY GOODMAN.
| 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.