DR. JEREMY HASKELL GOODMAN (NPI# 1487949780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487949780 |
| Entity Type | Individual |
| Full Name | DR. JEREMY HASKELL GOODMAN |
| Credential | DDS |
| Practice Address |
2530 Riva Rd Suite 201 Annapolis MD 21401-7413 |
| Mailing Address |
1131 University Blvd W #601 Silver Spring MD 20902-3357 |
| Practice Telephone | 4102631919 |
| Mailing Telephone | 3016812812 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
14783 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245890094 | Jeremy Zach Goodman | Student in an Organized Health Care Education/Training Program | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2019-06-14 |
| 1770530776 | Jeremy Goodman | Transplant Surgery | 619 19th St S, Birmingham, AL 35249-1900 | 2006-05-27 |
| Street Address |
2530 RIVA RD SUITE 201 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-7413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144625807 | Goodman Dental Care LLC | Dentist | 2530 Riva Rd, Suite # 201, Annapolis, MD 21401-7413 | 2014-10-23 |
| 1386081396 | Julia Elizabeth Fitzer | Audiologist | 2530 Riva Rd, Ste 309, Annapolis, MD 21401-7413 | 2013-05-30 |
| 1891053286 | Janet Frances Morton | Audiologist | 2530 Riva Rd, Suite 309, Annapolis, MD 21401-7413 | 2012-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109850 | James Bantz Wooddell Jr. | Dentist | 600 Ridgely Ave Ste 225, Annapolis, MD 21401-1089 | 2020-09-16 |
| 1295095198 | Holly Virginia Mayher | Dentist | 101 Ridgely Ave Ste 22a, Annapolis, MD 21401-1416 | 2012-05-24 |
| 1295021293 | Megan Marie Dixson | Dentist | 1415 Foxwood Ct, Annapolis, MD 21409-5432 | 2011-06-28 |
| 1285880823 | Andrew Martin Baker | Dentist | 715 Crisfield Way, Annapolis, MD 21401-4576 | 2008-08-14 |
| 1558556340 | Joseph G. Handelman | Dentist | 600 First St, Annapolis, MD 21403-3322 | 2007-09-13 |
| 1275757098 | Barry Grosshandler | Dentist | 101 Ridgely Ave Ste 22, Annapolis, MD 21401-1409 | 2007-04-12 |
| 1275654139 | Albert Lee | Dentist | 1606 Forest Dr, Annapolis, MD 21403-1004 | 2007-04-02 |
| 1619097425 | Kian Djawdan | Dentist | 200 Harry S Truman Pkwy, Suite 210, Annapolis, MD 21401-7601 | 2007-03-29 |
| 1811023963 | John Thomas Russell | Dentist | 1116 West St, Suite B, Annapolis, MD 21401-3608 | 2007-02-25 |
| 1538218938 | Jay Wayne Hustead | Dentist | 2331 Forest Dr, Annapolis, MD 21401-3833 | 2007-01-09 |
| Find all providers in ANNAPOLIS | ||||
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| 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.