Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY GOOD, PA
ActiveJEREMY GOOD, PA is a Physician Assistant healthcare provider located in CHAMPAIGN, Illinois. NPI 1104196294 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1104196294
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2012 (14.590609957046 yrs)
- Last Updated
- Jan 15, 2025
- License
-
085004264 (IL)
Practice Information
- Address
-
3101 FIELDS SOUTH DRCHAMPAIGN, IL, 618223743Browse IL providers · Browse ZIP 61822
- Phone
- 2173661240
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| MR. BRIAN NEAL SHORE | PA C | 1376544585 |
| MR. GREGORY LEE MARTINDILL | PA | 1609860782 |
| KORI L CARROLL | PA | 1598752628 |
| MS. HEATHER KONZELMANN | PA | 1720066251 |
| SHELLY JO REITEN | PAC | 1114994928 |
| ALLEN THOMAS | P.A.-C | 1033136635 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.