Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY L GODDARD, M.D.
ActiveJERRY L GODDARD, M.D. is a Family Medicine healthcare provider located in CARBONDALE, Illinois. NPI 1295711240 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CARBONDALE, IL
Registration Details
- NPI Number
- 1295711240
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2005 (20.642941940263 yrs)
- Last Updated
- Dec 28, 2020
- Licenses
-
036-054846 (IL)036-054846 (IL)
Practice Information
- Address
-
305 W JACKSON STSTE 200CARBONDALE, IL, 629011474Browse IL providers · Browse ZIP 62901
- Phone
- 6185366621
- Fax
- 6184531102
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in CARBONDALE, IL
| Name | Credential | NPI |
|---|---|---|
| BRIAN JAY REACH | M.D. | 1104824598 |
| ANDREW RAY RIFFEY | MD | 1528066578 |
| PAMELA KAY HUNTER-REACH | MD | 1942208988 |
| MUKESH CHAUDHRY | M.D. | 1508866559 |
| DR. ANAD K SALEM | MD | 1659366839 |
| DR. MARY MICHAELS POHLMANN | M.D. | 1558344853 |
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.