DR. ZACHARY AVITAL GOODMAN


Address: 6642 Clayton Rd # 278, Saint Louis, MO 63117-1602
Phone: 0000000000

DR. ZACHARY AVITAL GOODMAN (NPI# 1790205854) 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) 1790205854
Entity Type Individual
Full Name DR. ZACHARY AVITAL GOODMAN
Credential M.D.
Practice Address 6642 Clayton Rd # 278
Saint Louis
MO 63117-1602
Practice Telephone 0000000000
Enumeration Date 2017-06-20
Last Update Date 2019-01-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 2018042200 MO Allopathic & Osteopathic Physicians

Other Providers ZACHARY GOODMAN

NPI Name Taxonomy Address Enumeration
1568973428 Zachary Bryen Goodman Chiropractor 6402 E Superstition Springs Blvd Ste 123, Mesa, AZ 85206-4391 2017-10-18
1184764540 Zachary M Goodman Dentist 909 Elm St, Minden, LA 71055-2747 2007-02-07
1609847318 Zachary Dale Goodman Pathology 3300 Gallows Rd, Falls Church, VA 22042-3307 2006-01-30

Office Location

Street Address 6642 CLAYTON RD # 278
City SAINT LOUIS
State MO
Zip Code 63117-1602

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255956611 Efehi Kelly Ogbomo Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 2020-06-11
1619533890 Abdul Rauf Student in an Organized Health Care Education/Training Program 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 2019-05-14
1083278477 Mohamed Maali Gumaa Mohamed Student in an Organized Health Care Education/Training Program 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 2019-05-01
1750945556 Samrat Jun Jayanth Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 2019-04-26
1215491329 Latonya Allen Counselor 1612 S. Big Bend Blvd, St. Louis, MO 63117 2019-01-23
1265917025 Blue Stars Therapy, LLC Occupational Therapist 1101 Edward Terrace, Apt A, St. Louis, MO 63117 2018-09-27
1770060014 Ultra Care Home Services LLC Home Health 7353 Dale Ave, Saint Louis, MO 63117 2018-07-19
1235623562 Melissa Valerie Taylor Counselor Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 2018-06-20
1124517289 Jideofor Ebony Obodozie Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 2018-05-04
1770071706 Sivaram Prabhuji Muppaneni Student in an Organized Health Care Education/Training Program Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 2018-04-25
Find all providers in zip 63117

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174926224 Anita Dewan General Practice 9917 Grandview Forest Ct, Saint Louis, MO 63127-0046 2014-10-03
1356755201 Jessica Ellie Ma General Practice 216 S Kingshighway Blvd Fl 6, 6th Floor, Saint Louis, MO 63110-1026 2014-06-19
1235550385 Doctor's On The Way, Inc General Practice 712 N 2nd St, Ste 310, Saint Louis, MO 63102-2550 2013-12-16
1518398916 John Allen Cooper General Practice 40 N Kingshighway Blvd Apt 13f, Saint Louis, MO 63108-1343 2013-12-10
1417382821 Hyung T Kim General Practice 11 Crestwood Dr, Saint Louis, MO 63105-3032 2013-09-05
1356617443 Kirsten Frances Dunn General Practice 1040 N Mason Rd Ste 103, Ste 103, Saint Louis, MO 63141-6361 2012-03-22
1902199623 Care Plus Medical Group LLC General Practice 10650 Gateway Blvd, Saint Louis, MO 63132-1802 2011-05-27
1437474202 Debra Lynne Moss General Practice 12929 Ballantine Ct, Saint Louis, MO 63146-3701 2010-04-05
1558538850 Patrice Lynn Wakefield General Practice 514 Donne Ave, Saint Louis, MO 63130-3918 2008-05-15
1578736500 George D Flanagan Md Inc General Practice 2715 Union Blvd # 6, Saint Louis, MO 63113-2001 2008-04-10
Find all providers in SAINT LOUIS

Competitor

Search similar providers

City SAINT LOUIS
Zip Code 63117

Improve Information

Please comment or provide details below to improve the information on DR. ZACHARY AVITAL GOODMAN.

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.

Trending Searches