Eli Gottlieb Goodman (NPI# 1053405589, PAC ID# 6204875594) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1053405589 |
| PAC ID by PECOS | 6204875594 |
| Professional Enrollment ID | I20050426001383 |
| Full Name | Eli Gottlieb Goodman |
| Organization Legal Name | PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION |
| Address |
1600 W Walnut St Jacksonville IL 62650-1136 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3173503281 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140058 | PASSAVANT AREA HOSPITAL |
| 141333 | SARAH D CULBERTSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1600 W Walnut St, Jacksonville, IL 62650-1136 | PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION |
| Organization Legal Name | PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles M Sheaff | General Surgery | Passavant Memorial Area Hospital Association | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Tracy L Kesinger | Clinical Nurse Specialist | Passavant Memorial Area Hospital Association | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Larissa M Sorrells | Physical Therapy | Passavant Memorial Area Hospital Association | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Street Address |
1600 W WALNUT ST |
| City | JACKSONVILLE |
| State | IL |
| Zip | 62650-1136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Nicole Marshall | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Michelle Lee Geiss | Nurse Practitioner | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Deborah L Nielsen | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Fakhar Zaidi | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Elizabeth L Maro | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Ying Wang | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Alexander David Raw | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 1600 W Walnut St, Jacksonville, IL 62650-1199 |
| Helen D Kwong | Internal Medicine | Midwest Emergency Department Specialists Ltd | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| William G Loveland | Clinical Social Worker | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Ahmed M Ibn-mahfoudh | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Weber | Chiropractic | 1807 W Lafayette Ave, Jacksonville, IL 62650-1008 | |
| Richard E Charpentier | Chiropractic | 1424 W Walnut St, Jacksonville, IL 62650-1103 | |
| Michael N Fenner | General Surgery | Springfield Clinic LLP | 1600 W Walnut St Group Floor, Jacksonville, IL 62650-1136 |
| Tracy A Stucker | Clinical Social Worker | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Nathan M Jones | Emergency Medicine | Midwest Emergency Department Specialists Ltd | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Susan S Wexler | Emergency Medicine | Midwest Emergency Department Specialists Ltd | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Charles M Sheaff | General Surgery | Passavant Memorial Area Hospital Association | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Timothy A Vanfleet | Orthopedic Surgery | Orthopaedic Center of Il | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Julie W Tennill | Clinical Social Worker | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Muhammad Khattak | Nephrology | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Find all physicians in zip 62650 | |||
| City | JACKSONVILLE |
| Zip Code | 62650 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JACKSONVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Eli Gottlieb Goodman.
| 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.