| Dr John Andrew Goodman Jr, DO | |
|
5450 Fort St, Trenton, MI 48183-4601 | |
| (734) 671-3800 | |
| Not Available |
| Full Name | Dr John Andrew Goodman Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 5450 Fort St, Trenton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922219278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 02004706A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 5101017019 (Michigan) | Primary |
| Entity Name | Aspirus Ironwood Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992704753 PECOS PAC ID: 9032013198 Enrollment ID: O20031121000096 |
| Entity Name | Ascension Borgess Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416311 PECOS PAC ID: 5294645750 Enrollment ID: O20040209000029 |
| Entity Name | Kalamazoo Emergency Associates, Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942251244 PECOS PAC ID: 5890685473 Enrollment ID: O20040317001078 |
| Entity Name | Northern Michigan Emergency Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417972183 PECOS PAC ID: 7113910399 Enrollment ID: O20040405000871 |
| Entity Name | Sound Physicians Emergency Medicine Of Michigan, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568913473 PECOS PAC ID: 6800178195 Enrollment ID: O20170120002764 |
| Entity Name | Degara App Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Andrew Goodman Jr, DO 18570 Matthews Drive, Riverview, MI 48193 Ph: (801) 885-8850 | Dr John Andrew Goodman Jr, DO 5450 Fort St, Trenton, MI 48183-4601 Ph: (734) 671-3800 |
Dr. Charles Incognito Carino, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 816-304-1573 | |
Dr. David Malicke, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Emergency Medicine Department, Trenton, MI 48183 Phone: 734-671-3883 Fax: 734-671-3546 | |
Paul Kennedy Perry, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 | |
Esli Gollapalli, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Oakwood Southshore Medical Center, 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 | |
Dr. Jonathan Blair Leischner, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Dr. Matthew James Thomas, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3297 | |
Joshua Martin Smith, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-642-2380 |