JENNA SPENCER MCGOLDRICK


Address: 1313 Fish Hatchery Rd, Madison, WI 53715-1911
Phone: 6082528000

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

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

Office Location

Street Address 1313 FISH HATCHERY RD
City MADISON
State WI
Zip Code 53715-1911

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City MADISON
Zip Code 53715

Improve Information

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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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