Dr. Jeremy Lr Goodwin is a Petaluma, California based neurologist who is specialized in Neurology. Active license number of Dr. Jeremy Lr Goodwin is G76323 for Neurology in California. His current practice location is 1456 Professional Dr Ste 402, Petaluma. Patients can reach him at 707-938-7951 or can fax him at 707-938-7260. Dr. Jeremy Lr Goodwin is MS, MD in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1366547614. Dr. Jeremy Lr Goodwin specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Dr. Jeremy Lr Goodwin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Jeremy Lr Goodwin
Specialization:
Neurology
Gender:
Male
Credentials:
MS, MD
Practice Address:
1456 Professional Dr Ste 402, Petaluma, California, 94954-6639
Phone:
707-938-7951
Fax:
707-938-7260
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1366547614
NPI Enumeration Date:
13 Sep, 2006
NPI Last Update On:
06 Jun, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jeremy Lr Goodwin are as mentioned below.
License Number
Specialization
State
Status
G76323
Neurology
California
Primary
G76323
Pain Medicine
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jeremy Lr Goodwin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
R113031
Other
Oregon
NORIDAN
138326
Other
Oregon
OMAP
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Jeremy Lr Goodwin 1456 Professional Dr Ste 402, Petaluma, California
Zip:
94954-6639
Phone Number:
707-938-7951
Fax Number:
707-938-7260
Patients can reach Dr. Jeremy Lr Goodwin at 1456 Professional Dr Ste 402, Petaluma, California or can call to book an appointment on 707-938-7951.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.