JENNA SPENCER MCGOLDRICK (NPI# 1821415894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821415894 |
Entity Type | Individual |
Full Name | JENNA SPENCER MCGOLDRICK |
Other Name | JENNA CAROLINE SPENCER |
Credential | M.D. |
Practice Address |
1313 Fish Hatchery Rd Madison WI 53715-1911 |
Mailing Address |
1808 W Beltline Hwy Madison WI 53713-2334 |
Practice Telephone | 6082528000 |
Practice Fax Number | 6082837181 |
Mailing Telephone | 6082501497 |
Enumeration Date | 2014-03-27 |
Last Update Date | 2019-09-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD181961 | OR | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1313 Fish Hatchery Rd, Madison, WI 537151911 | 6082528000 | |
1740 W Taylor St, Chicago, IL 606127232 | 8666002273 | |
3181 Sw Sam Jackson Park Rd # Op-09, Portland, OR 972393011 | 5034948637 |
Street Address |
1313 FISH HATCHERY RD |
City | MADISON |
State | WI |
Zip Code | 53715-1911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356335269 | Paul A Boeder | Obstetrics & Gynecology | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2005-09-07 |
1780202663 | Julie Armstrong | Nurse Practitioner | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2020-07-08 |
1316580517 | Kelly Nicole Morgan | Clinical Neuropsychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-10-21 |
1952952921 | Drew A Roenneburg | Physician Assistant | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-09-21 |
1386299154 | Antonia Efua Bertram | Nurse Practitioner | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-08-07 |
1407314081 | Tempesst L Merricks | Nurse Practitioner | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-03-04 |
1588133219 | Jorja Gander | Pharmacist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-11-26 |
1841772381 | Jessica M Vaughan | Advanced Practice Midwife | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-08-31 |
1295216430 | Sarah A Vadnais | Clinical Neuropsychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-08-26 |
1063906451 | Anthony P Rinaldi | Psychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-06-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
Find all providers in zip 53715 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649686395 | Madison Medical Rheumatology, LLC | Internal Medicine | 1607 Doctor's Drive, Madison, MS 39110-8671 | 2014-07-02 |
1750544193 | Walter Roach Sundstrom | Internal Medicine | 404 Orchard Dr, Madison, WI 53711-1315 | 2008-07-07 |
1346201241 | John L Juozevicius | Internal Medicine | 1 South Park St, Madison, WI 53715 | 2006-03-30 |
1053773887 | Rachel Elizabeth Kneeland | Internal Medicine | 600 Highland Ave, Madison, WI 53792-6040 | 2016-03-22 |
1346636644 | Lauren Rene Johnson | Internal Medicine | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792 | 2015-04-13 |
1043658412 | Abdul Munem Kenj Halabi | Internal Medicine | 1 S Park St, Madison, WI 53715-1375 | 2013-06-07 |
1518221928 | Barkha Amlani | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2012-06-29 |
1528321122 | Shivani Garg | Internal Medicine | 1 S Park St, Madison, WI 53715-1375 | 2012-06-19 |
1356608939 | Webster Arthritis Clinic, Pllc | Internal Medicine | 106 Highland Way, Suite 202, Madison, MS 39110-6929 | 2012-04-19 |
1386937803 | Tiffany Chen-i Lin | Internal Medicine | 1685 Highland Ave, 4126 Mfcb, Madison, WI 53705-2281 | 2011-05-17 |
Find all providers in MADISON |
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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.