Jason E Goodman (NPI# 1447275110, PAC ID# 9032193370) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1447275110 |
| PAC ID by PECOS | 9032193370 |
| Professional Enrollment ID | I20080215000425 |
| Full Name | Jason E Goodman |
| Organization Legal Name | MNR INDUSTRIES LLC |
| Address |
504 E Ridgeville Blvd Mount Airy MD 21771-5942 |
| Phone Number | 4105497222 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7416908843 |
| Number of Group Practice Members | 105 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210063 | UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL CENTER |
| 210040 | NORTHWEST HOSPITAL CENTER |
| 210012 | SINAI HOSPITAL OF BALTIMORE |
| Address | Phone | Organization |
|---|---|---|
| 1505 E Churchville Rd, Bel Air, MD 21014-4742 | 4104206970 | MNR INDUSTRIES LLC |
| 504 E Ridgeville Blvd, Mount Airy, MD 21771-5942 | 4105497222 | MNR INDUSTRIES LLC |
| 504 E Ridgeville Blvd, Expresscare of Mount Airy, Mount Airy, MD 21771-5942 | 4105497222 | MNR INDUSTRIES LLC |
| 7601 Osler Dr, Towson, MD 21204-7700 | 4103374877 | UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC |
| Organization Legal Name | MNR INDUSTRIES LLC |
| Physicians | 121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendie K Grader Beck | Internal Medicine | Mnr Industries LLC | 1505 E Churchville Rd, Expresscare of Bel Air, Bel Air, MD 21014-4742 |
| Christine Kay Fleury | Physician Assistant | Mnr Industries LLC | 6000 Laurel Bowie Rd, Bowie, MD 20715-4000 |
| Julie M Riggs | Nurse Practitioner | Mnr Industries LLC | 1505 E Churchville Rd, Expresscare of Bel Air, Bel Air, MD 21014-4742 |
| Lioudmila Hill | Nurse Practitioner | Mnr Industries LLC | 1505 E Churchville Rd, Expresscare of Bel Air, Bel Air, MD 21014-4742 |
| John Druyor | Nurse Practitioner | Mnr Industries LLC | 1505 E Churchville Rd, Expresscare of Bel Air, Bel Air, MD 21014-4742 |
| Jean E Prevas | Physician Assistant | Mnr Industries LLC | 1505 E Churchville Rd, Expresscare of Bel Air, Bel Air, MD 21014-4742 |
| Gaelle F Djatche | Physician Assistant | Mnr Industries LLC | 1505 E Churchville Rd, Expresscare of Bel Air, Bel Air, MD 21014-4742 |
| Pooja S Patil | Physician Assistant | Mnr Industries LLC | 1505 E Churchville Rd, Expresscare of Bel Air, Bel Air, MD 21014-4742 |
| Emma Wernecke | Physician Assistant | Mnr Industries LLC | 1505 E Churchville Rd, Expresscare of Bel Air, Bel Air, MD 21014-4742 |
| David B Peck | Physician Assistant | Mnr Industries LLC | 1505 E Churchville Rd, Expresscare of Bel Air, Bel Air, MD 21014-4742 |
| Street Address |
504 E RIDGEVILLE BLVD |
| City | MOUNT AIRY |
| State | MD |
| Zip | 21771-5942 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ingrid Halvorson | Nurse Practitioner | Monocacy Health Partners LLC | 504 E Ridgeville Blvd, Suite 120, Mount Airy, MD 21771-5942 |
| Andrew A Tobon | Urology | Monocacy Health Partners LLC | 504 E Ridgeville Blvd, Suite 120, Mount Airy, MD 21771-5942 |
| David Bowen | Physical Therapy | Maryland Sportscare and Rehab LLC | 504 E Ridgeville Blvd, Suite 107, Mount Airy, MD 21771-5252 |
| Kristin Kelley-higgins Adelmeyer | Nurse Practitioner | Carroll Health Group LLC | 504 E Ridgeville Blvd, Suite 110, Mount Airy, MD 21771-5252 |
| Randie R Mclaughlin | Nurse Practitioner | Monocacy Health Partners LLC | 504 E Ridgeville Blvd, Suite 120, Mount Airy, MD 21771-5942 |
| Maurice N Reid | Emergency Medicine | Mnr Industries LLC | 504 E Ridgeville Blvd, A, Mount Airy, MD 21771-5942 |
| Matthew Ryan Duff | Physical Therapy | Maryland Sportscare and Rehab LLC | 504 E Ridgeville Blvd, Suite 107, Mount Airy, MD 21771-5252 |
| Todd M Grim | Physical Therapy | Maryland Sportscare and Rehab LLC | 504 E Ridgeville Blvd, Suite 107, Mount Airy, MD 21771-5252 |
| Randa Muhtaseb | Physical Therapy | Maryland Sportscare and Rehab LLC | 504 E Ridgeville Blvd, Suite 107, Mount Airy, MD 21771-5252 |
| Bryan S Nolan | General Surgery | Mnr Industries LLC | 504 E Ridgeville Blvd, A, Mount Airy, MD 21771-5942 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline D Wichern | Nurse Practitioner | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Honorine E Wanie | Nurse Practitioner | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Momoh Makieu | Nurse Practitioner | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Andrew Speer | Psychiatry | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Sara Gunther | Clinical Social Worker | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Deborah Pearce | Nurse Practitioner | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Kristen Williams | Clinical Social Worker | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Oluwatosin Fanimo | Nurse Practitioner | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Amy Jo Fox | Psychologist, Clinical | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Ramona White | Nurse Practitioner | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Find all physicians in zip 21771 | |||
| City | MOUNT AIRY |
| Zip Code | 21771 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MOUNT AIRY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jason E Goodman.
| 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.