Kelly Kimpton Goodsell (NPI# 1700290210, PAC ID# 4082992524) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1700290210 |
| PAC ID by PECOS | 4082992524 |
| Professional Enrollment ID | I20171108001563 |
| Full Name | Kelly Kimpton Goodsell |
| Organization Legal Name | JEFFERSON ACUTE CARE PHYSICIANS PC |
| Address |
2021 Chestnut St Philadelphia PA 19103-3373 |
| Phone Number | 2674432020 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7810215613 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390174 | THOMAS JEFFERSON UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1020 Sansom St, Suite 239, Philadelphia, PA 19107-5002 | 2159556844 | JEFFERSON UNIVERSITY PHYSICIANS |
| 2021 Chestnut St, Philadelphia, PA 19103-3373 | 2674432020 | JEFFERSON ACUTE CARE PHYSICIANS PC |
| 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 | 2159527444 | JEFFERSON UNIVERSITY PHYSICIANS |
| 700 Walnut St, Philadelphia, PA 19106-3505 | 2155037300 | JEFFERSON ACUTE CARE PHYSICIANS PC |
| Organization Legal Name | JEFFERSON ACUTE CARE PHYSICIANS PC |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shruti Chandra | Emergency Medicine | Jefferson Acute Care Physicians PC | 700 Walnut St, Philadelphia, PA 19106-3505 |
| Megan A Stobart Gallagher | Emergency Medicine | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| Chih Lung Chen | Emergency Medicine | Jefferson Acute Care Physicians PC | 2607 Rhawn St, Philadelphia, PA 19152-3038 |
| Anna Marie Chang | Emergency Medicine | Jefferson Acute Care Physicians PC | 700 Walnut St, Philadelphia, PA 19106-3505 |
| Simran Buttar | Emergency Medicine | Jefferson Acute Care Physicians PC | 700 Walnut St, Philadelphia, PA 19106-3505 |
| Amy Rose Lachewitz | Family Medicine | Jefferson Acute Care Physicians PC | 700 Walnut St, Philadelphia, PA 19106-3505 |
| Frederick W Randolph | Emergency Medicine | Jefferson Acute Care Physicians PC | 2966 St Rd, Bensalem, PA 19020-2604 |
| Christina H Chien | Emergency Medicine | Jefferson Acute Care Physicians PC | 700 Walnut St, Philadelphia, PA 19106-3505 |
| Morgan L Oakland | Emergency Medicine | Jefferson Acute Care Physicians PC | 700 Walnut St, Philadelphia, PA 19106-3505 |
| Frederick Tremain Randolph | Emergency Medicine | Jefferson Acute Care Physicians PC | 2966 St Rd, Bensalem, PA 19020-2604 |
| Street Address |
2021 CHESTNUT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19103-3373 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan A Stobart Gallagher | Emergency Medicine | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| Wayne Bond Lau | Emergency Medicine | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| Kristy Melissa Shine | Emergency Medicine | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| Resa Lewiss | Emergency Medicine | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| Benjamin Slovis | Emergency Medicine | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| Sean Mcgann | Emergency Medicine | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| Jacqueline Wolbransky | Nurse Practitioner | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| Vijiladevi P Dhas | Emergency Medicine | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| Carlos Rodriguez | Emergency Medicine | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| Ronald V Hall | Emergency Medicine | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy R Golboro | Clinical Social Worker | Jewish Family and Childrens Serv | 2100 Arch St, Fl 5, Phila, PA 19103-1300 |
| Niraj Bhalakia | Diagnostic Radiology | Imaging Associates of Indiana PC | 1919 Market St, Unit 1715, Philadelphia, PA 19103-1944 |
| Linda Gail Ziman | Podiatry | 1628 Jfk Blvd, Suite 2001, Philadelphia, PA 19103-2111 | |
| Steven Ng | Physical Therapy | Strive Physical Therapy and Sports Rehabilitation LLC | 1835 Market St, Fl 2, Philadelphia, PA 19103-2965 |
| Meghan Thompson | Physical Therapy | Strive Physical Therapy and Sports Rehabilitation LLC | 1835 Market St, Philadelphia, PA 19103-2965 |
| Roger Allen Band | Emergency Medicine | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| Elizabeth M. Lee | Emergency Medicine | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| Chaiya Laoteppitaks | Emergency Medicine | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| Xiao Chi Zhang | Emergency Medicine | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| David F. Gaieski | Emergency Medicine | Jefferson Acute Care Physicians PC | 2021 Chestnut St, Philadelphia, PA 19103-3373 |
| Find all physicians in zip 19103 | |||
| City | PHILADELPHIA |
| Zip Code | 19103 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PHILADELPHIA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Kelly Kimpton Goodsell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.