JOHN GOODFRED (NPI# 1891842696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891842696 |
| Entity Type | Individual |
| Full Name | JOHN GOODFRED |
| Credential | DO |
| Practice Address |
3965 S Mendenhall Rd Ste 6 Memphis TN 38115-5914 |
| Practice Telephone | 9013651800 |
| Practice Fax Number | 9013651862 |
| Mailing Telephone | 9013651800 |
| Mailing Fax Number | 9013651862 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2009-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 1807 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3965 S MENDENHALL RD STE 6 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38115-5914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962862979 | Jermeshia Neloms | Physical Therapy Assistant | 3965 S Mendenhall Rd Ste 6, Memphis, TN 38115-5914 | 2016-03-03 |
| 1790156636 | Manjula Thiagarajan | Physical Therapy Assistant | 3965 S Mendenhall Rd Ste 6, Memphis, TN 38115-5914 | 2015-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
| 1114580776 | Dee's Around The Clock | Home Health Aide | 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 | 2019-04-19 |
| 1679047476 | Demetria S Summers | Home Health | 6099 Appletree, Suite35, Memphis, TN 38115 | 2019-01-15 |
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
| 1255717260 | Mary L Avery | Social Worker | 5563 Knight Arnold Rd., Memphis, TN 38115 | 2015-08-03 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 1265811665 | Good Shepherd Health | Pharmacy | 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 | 2015-05-19 |
| Find all providers in zip 38115 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942609045 | Midsouth Neuropathy Treatment Center | General Practice | 1052 Brookfield Rd, Suite 101, Memphis, TN 38119-3860 | 2014-08-14 |
| 1528488699 | Sheg Oluwaseun Aranmolate | General Practice | 1926 Foster Ave, Memphis, TN 38114-2003 | 2014-04-16 |
| 1538588827 | Chs Tennessee Medical, P.C. | General Practice | 4740 Burbank Rd, Memphis, TN 38118-6301 | 2014-04-15 |
| 1629493424 | Maximum Health and Wellness LLC | General Practice | 6094 Apple Tree Dr, Suite 6, Memphis, TN 38115-0308 | 2014-03-03 |
| 1497064653 | Wellness Evaluation Services, Inc | General Practice | 1061 W Rex Rd, Memphis, TN 38119-3819 | 2010-10-05 |
| 1861719445 | Total Heatlh Care | General Practice | 4299 Elvis Presley B;vd., Memphis, TN 38116-6435 | 2010-04-22 |
| 1508038910 | F Chin, Inc | General Practice | 5347 Dunnellon Ave, Memphis, TN 38134-5305 | 2008-03-25 |
| 1295863488 | Daniel P Marshall | General Practice | 515 N Highland St, Memphis, TN 38122-4572 | 2007-03-01 |
| 1013004324 | Mark L Reed | General Practice | 3789 Covington Pike, Memphis, TN 38135-2279 | 2006-10-06 |
| 1568571404 | Jerry Lee Lovelace Jr. | General Practice | 1488 Madison Ave, Memphis, TN 38104-2447 | 2006-08-30 |
| Find all providers in MEMPHIS | ||||
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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.