Brent J Goodge (NPI# 1285639674, PAC ID# 0749252278) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1285639674 |
| PAC ID by PECOS | 0749252278 |
| Professional Enrollment ID | I20050616000285 |
| Full Name | Brent J Goodge |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF DALTON |
| Address |
1200 Memorial Dr Dalton GA 30720-2529 |
| Phone Number | 7062782105 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 5890692305 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110001 | HAMILTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1200 Memorial Dr, Dalton, GA 30720-2529 | 7062782105 | ANESTHESIA ASSOCIATES OF DALTON |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF DALTON |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Isaac Tew | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Theodore Ameredes | Anesthesiology | Anesthesia Associates of Dalton | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Carol Lawrence | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Laura Cothern | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Ralph Weaver | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Melissa J Holman | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Bernard S. Hein Iii | Anesthesiology | Anesthesia Associates of Dalton | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Kelly M Nelson | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Samantha Griffin | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Lindsay Musick | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Street Address |
1200 MEMORIAL DR |
| City | DALTON |
| State | GA |
| Zip | 30720-2529 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie L Wooten | Nurse Practitioner | Hamilton Medical Center, Inc | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Theodore Ameredes | Anesthesiology | Anesthesia Associates of Dalton | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Carol Lawrence | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Laura Cothern | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Pulin Patel | Emergency Medicine | Emergency Coverage Corp | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Christina R Crane | Nurse Practitioner | Emergency Coverage Services PC | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Ralph Weaver | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Jeffrey Wade Cloyd | Emergency Medicine | Emergency Coverage Corp | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Benjamin D. Smith | Family Medicine | Hamilton Medical Center, Inc | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Ashish Mohammad Kabir | Neurology | Hamilton Physician Group, Inc | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven C Knox | Chiropractic | Family Chiropractic Center, Inc. | 310 N Thorton Ave, Dalton, GA 30720 |
| Benjamin R Read | Chiropractic | Family Chiropractic Center, Inc. | 310 N Thorton Ave, Dalton, GA 30720 |
| William B Ramsey | Chiropractic | Family Chiropractic Center, Inc. | 310 N Thorton Ave, Dalton, GA 30720 |
| Robin L Roe | Nurse Practitioner | Wal-mart Stores East Lp | 518 Shugart Rd, Dalton, GA 30720-2444 |
| Season N Flores | Clinical Social Worker | Highland Rivers Community Service Board | 900 Shugart Rd, Suite A, Dalton, GA 30720-2467 |
| Allison A Bond | Physician Assistant | Williams Plastic and Reconstructive Surgery, PC | 1506 Professional Court, Dalton, GA 30720-2500 |
| Ido Friedman | Podiatry | Village Podiatry Group, LLC. | 1505 Professional Ct, Dalton, GA 30720-2500 |
| Joel A Williams Iii | Plastic and Reconstructive Surgery | Williams Plastic and Reconstructive Surgery, PC | 1506 Professional Court, Dalton, GA 30720-2500 |
| Lindsay Bright | Nurse Practitioner | Williams Plastic and Reconstructive Surgery, PC | 1506 Professional Court, Dalton, GA 30720-2500 |
| Kimberly Bailey | Nurse Practitioner | Hamilton Physician Group, Inc | 1212 Broadrick Dr, Dalton, GA 30720-2503 |
| Find all physicians in zip 30720 | |||
| City | DALTON |
| Zip Code | 30720 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | DALTON + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Brent J Goodge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.