NPI 1104196294 JEREMY GOOD PA DECATUR IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jeremy Good - NPI: 1104196294

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JEREMY GOOD
NPI Number: 1104196294
Entity Type Code: Individual (1)
Gender: M
Credentials: PA
License Number: 085004264
Business Practice Address: 302 W Hay St
Suite 200 Decatur, IL - 625264167
Business Phone Number: 2178778925
Business Fax Number: 2178770020
Mailing Address: 2300 N Edward St, Gsbll
DECATUR
State: IL
Postal Code: 625264163
Phone Number: 2178762857
Fax Number: 2178762874
NPI Enumeration Date: 01/05/2012
NPI Last Update Date: 09/05/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363A00000X
License Number: 085004264
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Physician Assistant
Taxonomy Specialization:
Taxonomy Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


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