JAY S GOODMAN (NPI# 1861490492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861490492 |
| Entity Type | Individual |
| Full Name | JAY S GOODMAN |
| Credential | M.D. |
| Practice Address |
301 Saint Paul Pl Suite 300-t Department of Medicine Baltimore MD 21202-2102 |
| Practice Telephone | 4103329692 |
| Practice Fax Number | 4109628391 |
| Mailing Telephone | 4103329692 |
| Mailing Fax Number | 4109628391 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
D02153 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134237779 | Jay A. Goodman | Psychologist | 54 Penny Ln, Suite B, Watsonville, CA 95076-6012 | 2006-08-25 |
| 1679044994 | Jay Richard Goodman IIi | Speech-Language Pathologist | 411 W Woodward Ave, Eustis, FL 32726-4554 | 2018-12-14 |
| 1023568680 | Jay Drew Goodman | Physical Medicine & Rehabilitation | 1603 Hillsborough St, 1603 Hillsborough Street, Raleigh, NC 27605-1638 | 2016-10-07 |
| 1720361785 | Jay Henry Goodman | Psychologist | 2704 Commerce Dr, Harrisburg, PA 17110-9380 | 2011-09-26 |
| 1114013505 | Jay Goodman | Pharmacist | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2006-10-05 |
| 1326034026 | Jay David Goodman | Radiology | 629d Lowther Rd, Lewisberry, PA 17339-9527 | 2005-09-27 |
| Street Address |
301 SAINT PAUL PL SUITE 300-T DEPARTMENT OF MEDICINE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980305 | Debra A Vachon | Colon & Rectal Surgery | 301 Saint Paul Pl, Ste 400, Baltimore, MD 21202-2102 | 2005-05-27 |
| 1861046567 | Rebecca Whitlock Grochowski | Nurse Practitioner | 301 Saint Paul Pl, Dept of Med, Baltimore, MD 21202-2165 | 2019-07-31 |
| 1891348660 | Sarah Olsen Gallo | Nurse Practitioner | 301 Saint Paul Pl, Baltimore, MD 21202-2165 | 2019-07-22 |
| 1124423090 | Janene Michelle Levy | Nurse Practitioner | 301 Saint Paul Pl, Suite 509, Baltimore, MD 21202-2102 | 2014-11-04 |
| 1790180669 | Lucy King | Pharmacist | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-11-04 |
| 1235534645 | Nicole Bonanni | Physician Assistant | 301 Saint Paul Pl, The Orthopedic Specialty Hospital, Baltimore, MD 21202-2102 | 2014-10-28 |
| 1952705352 | Amanda Boyer | Physician Assistant | 301 Saint Paul Pl, Er Dept., Baltimore, MD 21202-2102 | 2014-10-14 |
| 1083014922 | Matthew Charles Perry | Pharmacist | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-08-28 |
| 1396153946 | Christopher Mathews | Nurse Anesthetist, Certified Registered | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-07-28 |
| 1891102067 | Ryan Thomas Carter | Nurse Anesthetist, Certified Registered | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811029242 | Antoine Azar | Internal Medicine | 5501 Hopkins Bayview Cir, Room 2a62, Baltimore, MD 21224-6821 | 2007-03-12 |
| 1316087620 | Ana Maria G Pasatiempo | Internal Medicine | 7141 Security Boulevard, Baltimore, MD 21244 | 2007-02-07 |
| 1760570741 | Susan Lee Limb | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-10-11 |
| 1023057585 | Edward Conner | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-06 |
| 1205823739 | Johns Hopkins University | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760902936 | Muhammad Bilal Khalid | Internal Medicine | Nih- Building 10, Room 12c103, Bethesda, MD 20892-0001 | 2017-06-20 |
| 1477973568 | Olga Hardin | Internal Medicine | 10000 Ormond Rd, Potomac, MD 20854-5028 | 2014-04-16 |
| 1396942678 | Sofia Chaudhry | Internal Medicine | Bldg 10 Rm 11n236, 10 Center Drive Msc 1881, Bethesda, MD 20892-0001 | 2007-06-29 |
| 1285900019 | Jessica Rose Durkee-shock | Internal Medicine | 10 Center Drive, Bethesda, MD 20814 | 2012-03-27 |
| 1447414438 | Prasad M Nataraj Md PC | Internal Medicine | 208 Plumtree Road, B, Bel Air, MD 21015 | 2008-07-18 |
| 1780896068 | Paul C. Turkeltaub, M.d. | Internal Medicine | 5225 Pooks Hill Rd, Suite 1-a, Bethesda, MD 20814-2052 | 2007-05-07 |
| 1083763726 | Jonathan Kim Fears | Internal Medicine | 985 Prince Frederick Blvd Ste 201, Prince Frederick, MD 20678-3492 | 2007-01-10 |
| 1487746566 | Raghava V Charya | Internal Medicine | Walter Reed National Naval Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2006-09-28 |
| 1841306701 | Nasheds, Pa | Internal Medicine | 111 West High Street, Suite 311, Elkton, MD 21921 | 2006-08-22 |
| 1831124833 | Adina K Knight | Internal Medicine | 15201 Shady Grove Rd, Rockville, MD 20850-3217 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
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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.