JACOB DILLON GOODEN


Address: 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453
Phone: 5407411100

JACOB DILLON GOODEN (NPI# 1023622529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023622529
Entity Type Individual
Full Name JACOB DILLON GOODEN
Credential PA-C
Practice Address 1001 Sam Perry Blvd
Fredericksburg
VA 22401-4453
Mailing Address 30 Carriage Hill Ln
Fredericksburg
VA 22407-2402
Practice Telephone 5407411100
Mailing Telephone 3366828615
Enumeration Date 2020-09-02
Last Update Date 2020-09-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1001 SAM PERRY BLVD
City FREDERICKSBURG
State VA
Zip Code 22401-4453

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730185398 Torrey Hawley Nurse Anesthetist, Certified Registered 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2005-06-28
1508478462 Sabrina Brandi Cervantez Registered Nurse 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2020-08-20
1275144297 Emily Burger Pharmacist 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2020-08-13
1144839762 Briana Lafuria Registered Nurse 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2020-07-29
1831724301 Yaru Chen Registered Nurse 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2020-03-05
1922631456 Christopher Barnes Registered Nurse 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2020-02-12
1649803172 Richard L Derrick Registered Nurse 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2020-02-12
1851930838 Markia Stewart Dudley Nurse Practitioner 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2019-12-23
1861030637 Amalea Suzette Gray Pharmacist 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2019-12-12
1194363929 Lori Beth Feldman Pharmacist 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2019-12-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992313415 Amanda Dodd Behavior Technician 1411 Princess Anne, Fredericksburg, VA 22401 2020-07-21
1215567326 Britteny Whitaker Behavior Technician 1411 Princess Ann, Fredericksburg, VA 22401 2020-01-17
1396389433 Ashley Stanevich Behavior Technician 1411 Princess Anne Lane, Fredericksburg, VA 22401 2019-11-01
1265074231 Anna Kelleher Behavior Technician 1411 Princess Anna St, Frericksburg, VA 22401 2019-10-11
1649824152 Zaan Z Ali Audiologist 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 2019-08-01
1790342426 Michael Williams Jr. Physician Assistant 411 B Park Hill Dr, Frederickburg, VA 22401 2019-05-29
1285290965 Ann Damalie Namabiro Behavior Technician 1411 Princess Ann Street, Fredericksburg, VA 22401 2019-05-17
1922579630 Primary and Urgent Care LLC Family Medicine Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 2018-12-07
1003323056 Mariah Mazzariello Behavior Technician 1411 Princess Anne Stree, Fredericksburg, VA 22401 2017-12-29
1336655281 Hina Zafar Behavior Technician 1411 Princess Anne St., Fredericksburg, VA 22401 2017-12-14
Find all providers in zip 22401

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265907521 Meghan Marie Ellden Physician Assistant 125 Olde Greenwich Dr Ste 220, Fredericksburg, VA 22408-4010 2018-10-12
1578912424 Jenna Kollat Physician Assistant 1101 Sam Perry Blvd Ste 211, Fredericksburg, VA 22401-4465 2016-06-10
1386090561 Mukul Mallick Physician Assistant 15 S Gateway Dr Ste 101, Fredericksburg, VA 22406-1231 2016-05-06
1457690489 James Michael Crawford Physician Assistant 1031 S State Highway 16, Fredericksburg, TX 78624-4472 2013-02-12
1023378833 Juliet Dameron Physician Assistant 1601 Olde William Street, Suite B, Fredericksburg, VA 22401-5525 2012-05-25
1124399951 Chelsea Marie Garfield Physician Assistant 3 Rosemont Ct, Fredericksburg, VA 22405-6140 2012-01-25
1154622967 Elizabeth Marie Greene Physician Assistant Bettermed Urgent Care, 10004 Southpoint Pkwy, Fredericksburg, VA 22407 2010-11-10
1295986248 Megan Lynn Staudt Physician Assistant 140 Industrial Loop, Suite 100, Fredericksburg, TX 78624-5456 2008-10-08
1083734578 Michelle Ann O'connor Physician Assistant 15 S Gateway Dr, Suite 101, Fredericksburg, VA 22406-1231 2007-03-30
1043346992 Natalie Gergler Physician Assistant 2216 Princess Anne St Ste 204, Fredericksburg, VA 22401-3300 2007-02-26
Find all providers in FREDERICKSBURG

Competitor

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City FREDERICKSBURG
Zip Code 22401

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Dataset Information

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.

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